Provider Demographics
NPI:1467831594
Name:THERAPEUTIC HOPE
Entity Type:Organization
Organization Name:THERAPEUTIC HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRIPPETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:941-914-5168
Mailing Address - Street 1:3750 OCEANSIDE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-1981
Mailing Address - Country:US
Mailing Address - Phone:941-914-5168
Mailing Address - Fax:
Practice Address - Street 1:3750 OCEANSIDE ST
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-1981
Practice Address - Country:US
Practice Address - Phone:941-914-5168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty