Provider Demographics
NPI:1356076111
Name:HOPE TO HEARTSEASE COUNSELING
Entity Type:Organization
Organization Name:HOPE TO HEARTSEASE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANNIE
Authorized Official - Last Name:GORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LCPC
Authorized Official - Phone:913-634-5261
Mailing Address - Street 1:18719 W 163RD TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2786
Mailing Address - Country:US
Mailing Address - Phone:913-634-5261
Mailing Address - Fax:
Practice Address - Street 1:18719 W 163RD TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2786
Practice Address - Country:US
Practice Address - Phone:913-901-7897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-17
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty