Provider Demographics
NPI:1326219932
Name:HOPE HAVEN COUNSELING INC.
Entity Type:Organization
Organization Name:HOPE HAVEN COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-557-0191
Mailing Address - Street 1:9140 S STATE ST
Mailing Address - Street 2:STE. 101
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2684
Mailing Address - Country:US
Mailing Address - Phone:801-557-0191
Mailing Address - Fax:801-676-8797
Practice Address - Street 1:9140 S STATE ST
Practice Address - Street 2:STE. 101
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2684
Practice Address - Country:US
Practice Address - Phone:801-557-0191
Practice Address - Fax:801-676-8797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-23
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT107127251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health