Provider Demographics
NPI:1275079147
Name:HARVESTING HOPE & HEALING COUNSELING SERVICES
Entity Type:Organization
Organization Name:HARVESTING HOPE & HEALING COUNSELING SERVICES
Other - Org Name:VALERIE HOPE SAFFOLD
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:SAFFOLD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPCC NCC
Authorized Official - Phone:505-301-2434
Mailing Address - Street 1:3301 COORS BLVD NW STE R
Mailing Address - Street 2:# 131
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1268
Mailing Address - Country:US
Mailing Address - Phone:505-301-2434
Mailing Address - Fax:
Practice Address - Street 1:3321 CANDELARIA RD NE
Practice Address - Street 2:# 321
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1966
Practice Address - Country:US
Practice Address - Phone:505-301-2434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0169901101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM49485067Medicaid