Provider Demographics
NPI:1386187557
Name:HOPE EDEN, LCSW, PLLC
Entity Type:Organization
Organization Name:HOPE EDEN, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-989-2514
Mailing Address - Street 1:197 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2854
Mailing Address - Country:US
Mailing Address - Phone:828-989-2514
Mailing Address - Fax:
Practice Address - Street 1:107 MERRIMON AVE
Practice Address - Street 2:SUITE 322
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2586
Practice Address - Country:US
Practice Address - Phone:828-989-2514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0075751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q414350281Medicare UPIN
Q414350281Medicare UPIN