Provider Demographics
NPI:1366637472
Name:HOPE CHRISTIAN COUNSELING PLLC
Entity Type:Organization
Organization Name:HOPE CHRISTIAN COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMFT
Authorized Official - Phone:989-399-9233
Mailing Address - Street 1:PO BOX 5983
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-0983
Mailing Address - Country:US
Mailing Address - Phone:989-399-9233
Mailing Address - Fax:989-399-9234
Practice Address - Street 1:1711 COURT ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4072
Practice Address - Country:US
Practice Address - Phone:989-399-9233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006152251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health