Provider Demographics
NPI:1205199254
Name:FAMILY HOPE HOUSE, PLLC
Entity Type:Organization
Organization Name:FAMILY HOPE HOUSE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-381-5927
Mailing Address - Street 1:8906 E SKELLY DR STE C
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-3400
Mailing Address - Country:US
Mailing Address - Phone:918-381-5927
Mailing Address - Fax:
Practice Address - Street 1:8906 E SKELLY DR STE C
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74129-3400
Practice Address - Country:US
Practice Address - Phone:918-381-5927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty