Provider Demographics
NPI:1316555188
Name:HOPE COUNSELING LLC
Entity Type:Organization
Organization Name:HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FATAI
Authorized Official - Middle Name:ADESHINA
Authorized Official - Last Name:POPOOLA
Authorized Official - Suffix:
Authorized Official - Credentials:LGSW,LADC
Authorized Official - Phone:651-430-1060
Mailing Address - Street 1:1903 GREELEY ST S STE 201
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6279
Mailing Address - Country:US
Mailing Address - Phone:651-430-1060
Mailing Address - Fax:651-439-9299
Practice Address - Street 1:1903 GREELEY ST S STE 201
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6279
Practice Address - Country:US
Practice Address - Phone:651-430-1060
Practice Address - Fax:651-439-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty