Provider Demographics
NPI:1164089207
Name:HOPE COUNSELING & CONSULTING SERVICES, INC.
Entity Type:Organization
Organization Name:HOPE COUNSELING & CONSULTING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:PERKINS
Authorized Official - Last Name:MCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LCSW, LCAS
Authorized Official - Phone:336-624-2347
Mailing Address - Street 1:326 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2722
Mailing Address - Country:US
Mailing Address - Phone:336-631-1948
Mailing Address - Fax:336-631-1948
Practice Address - Street 1:326 N SPRING ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-2722
Practice Address - Country:US
Practice Address - Phone:336-631-1948
Practice Address - Fax:336-631-1948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1881879807Medicaid