Provider Demographics
NPI:1578162905
Name:HOPE-HEALING ONESELF THROUGH POSITIVE EXPECTATIONS
Entity Type:Organization
Organization Name:HOPE-HEALING ONESELF THROUGH POSITIVE EXPECTATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-773-6220
Mailing Address - Street 1:3966 WATER OAK DR
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7347
Mailing Address - Country:US
Mailing Address - Phone:225-772-6220
Mailing Address - Fax:
Practice Address - Street 1:3966 WATER OAK DR
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7347
Practice Address - Country:US
Practice Address - Phone:225-772-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)