Provider Demographics
NPI:1164167052
Name:CARDINAL HOPE MENTAL HEALTH COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:CARDINAL HOPE MENTAL HEALTH COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:N
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:315-303-8087
Mailing Address - Street 1:165 FAIRWAY CIR
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-3362
Mailing Address - Country:US
Mailing Address - Phone:516-592-2859
Mailing Address - Fax:
Practice Address - Street 1:201 E JEFFERSON ST STE 304
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2610
Practice Address - Country:US
Practice Address - Phone:315-303-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty