Provider Demographics
NPI:1568123560
Name:EXPANDING HOPE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:EXPANDING HOPE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:608-790-9481
Mailing Address - Street 1:2920 EAST AVE S STE 100
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-8282
Mailing Address - Country:US
Mailing Address - Phone:608-790-9481
Mailing Address - Fax:608-790-9480
Practice Address - Street 1:2920 EAST AVE S STE 100
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-8282
Practice Address - Country:US
Practice Address - Phone:608-790-9481
Practice Address - Fax:608-790-9480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health