Provider Demographics
NPI:1417498973
Name:INSPIRING HOPE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:INSPIRING HOPE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHAUTE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:772-448-7454
Mailing Address - Street 1:130 S INDIAN RIVER DR
Mailing Address - Street 2:202
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4343
Mailing Address - Country:US
Mailing Address - Phone:772-448-4754
Mailing Address - Fax:
Practice Address - Street 1:130 S INDIAN RIVER DR
Practice Address - Street 2:202
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4343
Practice Address - Country:US
Practice Address - Phone:772-448-4754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14243101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty