Provider Demographics
NPI:1205226297
Name:A PLACE FOR HOPE, HEALING AND TRANSFORMATION,LLC
Entity Type:Organization
Organization Name:A PLACE FOR HOPE, HEALING AND TRANSFORMATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORERO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:814-336-8600
Mailing Address - Street 1:310 CHESTNUT ST
Mailing Address - Street 2:STE 336
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3283
Mailing Address - Country:US
Mailing Address - Phone:814-350-5558
Mailing Address - Fax:
Practice Address - Street 1:310 CHESTNUT ST
Practice Address - Street 2:STE 336
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3283
Practice Address - Country:US
Practice Address - Phone:814-350-5558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007450101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty