Provider Demographics
NPI:1205009123
Name:HOPE UNLIMITED INC
Entity Type:Organization
Organization Name:HOPE UNLIMITED INC
Other - Org Name:HOPE UNLIMITED
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:F
Authorized Official - Last Name:DOBLER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:701-351-1934
Mailing Address - Street 1:400 12TH AVE NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301-2709
Mailing Address - Country:US
Mailing Address - Phone:701-351-1934
Mailing Address - Fax:701-665-2668
Practice Address - Street 1:400 12TH AVE NE
Practice Address - Street 2:SUITE D
Practice Address - City:DEVILS LAKE
Practice Address - State:ND
Practice Address - Zip Code:58301-2709
Practice Address - Country:US
Practice Address - Phone:701-351-1934
Practice Address - Fax:701-665-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3198251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND30829OtherBCBS OF ND
ND019230Medicaid
ND30829OtherBCBS OF ND