Provider Demographics
NPI:1194190728
Name:THREADS OF HOPE COUNSELING, LLC
Entity Type:Organization
Organization Name:THREADS OF HOPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:E
Authorized Official - Last Name:BEALL
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPCC,LPC,LPC
Authorized Official - Phone:651-560-0050
Mailing Address - Street 1:3410 FEDERAL DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-1337
Mailing Address - Country:US
Mailing Address - Phone:651-560-0050
Mailing Address - Fax:651-925-0257
Practice Address - Street 1:3410 FEDERAL DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-1337
Practice Address - Country:US
Practice Address - Phone:651-560-0050
Practice Address - Fax:651-925-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty