Provider Demographics
NPI:1407431976
Name:INSPIRING HOPE COUNSELING AND DEVELOPMENT SERVICES, PLLC
Entity Type:Organization
Organization Name:INSPIRING HOPE COUNSELING AND DEVELOPMENT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:980-272-1822
Mailing Address - Street 1:9634 FALLING STREAM DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-1473
Mailing Address - Country:US
Mailing Address - Phone:980-272-1822
Mailing Address - Fax:
Practice Address - Street 1:4009 CORNING PL STE E2-390
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-1299
Practice Address - Country:US
Practice Address - Phone:980-272-1822
Practice Address - Fax:704-601-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty