Provider Demographics
NPI:1174279517
Name:SIMPLE HOPE COUNSELING
Entity Type:Organization
Organization Name:SIMPLE HOPE COUNSELING
Other - Org Name:SIMPLE HOPE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-253-0269
Mailing Address - Street 1:9962 W BRANDT PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7404
Mailing Address - Country:US
Mailing Address - Phone:307-253-0269
Mailing Address - Fax:
Practice Address - Street 1:9962 W BRANDT PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7404
Practice Address - Country:US
Practice Address - Phone:720-634-5799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-24
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty