Provider Demographics
NPI:1275220121
Name:HARRIS HOPE COUNSELING, LLC
Entity Type:Organization
Organization Name:HARRIS HOPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-213-8870
Mailing Address - Street 1:13220 TRUMPET DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-3661
Mailing Address - Country:US
Mailing Address - Phone:256-213-8870
Mailing Address - Fax:256-285-2914
Practice Address - Street 1:9238 MADISON BLVD STE 800
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9165
Practice Address - Country:US
Practice Address - Phone:256-642-9498
Practice Address - Fax:256-285-2914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)