Provider Demographics
NPI:1376142497
Name:HOPE SPRINGS PSYCHOTHERAPY AND CONSULTING, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HOPE SPRINGS PSYCHOTHERAPY AND CONSULTING, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAFFNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-303-6058
Mailing Address - Street 1:3700 DELTA FAIR BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-4074
Mailing Address - Country:US
Mailing Address - Phone:925-303-6058
Mailing Address - Fax:
Practice Address - Street 1:3700 DELTA FAIR BLVD STE 210
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4074
Practice Address - Country:US
Practice Address - Phone:925-303-6058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC52830OtherBOARD OF BEHAVIORAL SERVICES
CAPSY30679OtherBOARD OF PSYCHOLOGY