Provider Demographics
NPI:1518721406
Name:HOPE AWAITS COUNSELING LLC
Entity Type:Organization
Organization Name:HOPE AWAITS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHENIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MALAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:208-591-0779
Mailing Address - Street 1:1991 HAWTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-5609
Mailing Address - Country:US
Mailing Address - Phone:208-591-0779
Mailing Address - Fax:
Practice Address - Street 1:7552 NAVARRE PKWY UNIT 62
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-7305
Practice Address - Country:US
Practice Address - Phone:850-686-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)