Provider Demographics
NPI:1164789327
Name:VANHOPE, LISA (LPC, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:VANHOPE
Suffix:
Gender:F
Credentials:LPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1186 E 4600 S
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4332
Mailing Address - Country:US
Mailing Address - Phone:801-725-8431
Mailing Address - Fax:801-725-8431
Practice Address - Street 1:1186 E 4600 S
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4332
Practice Address - Country:US
Practice Address - Phone:801-725-8431
Practice Address - Fax:801-725-8431
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT140031-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health