Provider Demographics
NPI:1154097897
Name:HOPE LANE MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:HOPE LANE MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELING
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-660-4890
Mailing Address - Street 1:4248 65TH PL APT 2
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5055
Mailing Address - Country:US
Mailing Address - Phone:516-660-4890
Mailing Address - Fax:
Practice Address - Street 1:4248 65TH PL APT 2
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5055
Practice Address - Country:US
Practice Address - Phone:516-660-4890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty