Provider Demographics
NPI:1407308836
Name:ABIDING HOPE COUNSELING SERVICES
Entity Type:Organization
Organization Name:ABIDING HOPE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-214-7703
Mailing Address - Street 1:9300 FOREST POINT CIR
Mailing Address - Street 2:STE 115
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4765
Mailing Address - Country:US
Mailing Address - Phone:571-214-7703
Mailing Address - Fax:703-530-9805
Practice Address - Street 1:9300 FOREST POINT CIR
Practice Address - Street 2:STE 115
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4765
Practice Address - Country:US
Practice Address - Phone:571-214-7703
Practice Address - Fax:703-530-9805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health