Provider Demographics
NPI:1518631894
Name:HOPE RISING INTEGRATIVE COUNSELING LLC
Entity Type:Organization
Organization Name:HOPE RISING INTEGRATIVE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:814-341-8905
Mailing Address - Street 1:1153 W HIGH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1725
Mailing Address - Country:US
Mailing Address - Phone:814-341-8905
Mailing Address - Fax:855-211-0278
Practice Address - Street 1:1153 W HIGH ST STE 2
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-1725
Practice Address - Country:US
Practice Address - Phone:814-341-8905
Practice Address - Fax:855-211-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032959600001Medicaid