Provider Demographics
NPI:1174285639
Name:HOPEWELL COUNSELING
Entity Type:Organization
Organization Name:HOPEWELL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CMHC STUDENT INTERN
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:808-364-1825
Mailing Address - Street 1:12379 JEWEL STONE LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-6750
Mailing Address - Country:US
Mailing Address - Phone:808-364-1825
Mailing Address - Fax:
Practice Address - Street 1:12379 JEWEL STONE LN
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-6750
Practice Address - Country:US
Practice Address - Phone:808-364-1825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty