Provider Demographics
NPI:1154069409
Name:HOPE LAND THERAPY, LLC
Entity Type:Organization
Organization Name:HOPE LAND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LENTNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:219-331-8735
Mailing Address - Street 1:680 WENTWORTH AVE UNIT 225
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-6709
Mailing Address - Country:US
Mailing Address - Phone:708-274-7991
Mailing Address - Fax:
Practice Address - Street 1:8745 W. HIGGINS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631
Practice Address - Country:US
Practice Address - Phone:708-274-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)