Provider Demographics
NPI:1225715998
Name:MINNESOTA HOPE DEALERZ SERVICE CORPORATION
Entity Type:Organization
Organization Name:MINNESOTA HOPE DEALERZ SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:AS, ADC-T
Authorized Official - Phone:763-290-2736
Mailing Address - Street 1:1314 MARQUETTE AVE APT 2408
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-4133
Mailing Address - Country:US
Mailing Address - Phone:763-290-2736
Mailing Address - Fax:
Practice Address - Street 1:1314 MARQUETTE AVE APT 2408
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-4133
Practice Address - Country:US
Practice Address - Phone:763-290-2736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty