Provider Demographics
NPI:1538513205
Name:HOPE COUNSELING SERVICES
Entity Type:Organization
Organization Name:HOPE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:RODRIGUES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPCC
Authorized Official - Phone:505-862-1418
Mailing Address - Street 1:505 CAMINO DE LOS MARQUEZ
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1837
Mailing Address - Country:US
Mailing Address - Phone:505-490-1801
Mailing Address - Fax:505-455-8876
Practice Address - Street 1:505 CAMINO DE LOS MARQUEZ
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1837
Practice Address - Country:US
Practice Address - Phone:505-490-1801
Practice Address - Fax:505-455-8876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0120871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty