Provider Demographics
NPI:1164191813
Name:ISABELL'S CORNER OF HOPE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ISABELL'S CORNER OF HOPE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISHINDA
Authorized Official - Middle Name:TRAION
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHC
Authorized Official - Phone:971-393-0573
Mailing Address - Street 1:3519 NE 15TH AVE STE 264
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-2356
Mailing Address - Country:US
Mailing Address - Phone:971-393-0573
Mailing Address - Fax:971-249-8569
Practice Address - Street 1:333 NE RUSSELL ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3762
Practice Address - Country:US
Practice Address - Phone:971-393-0573
Practice Address - Fax:971-249-8569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty