Provider Demographics
NPI:1598221962
Name:MCCLOSKEY, HOPE (CIT)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-7061
Mailing Address - Country:US
Mailing Address - Phone:337-400-9519
Mailing Address - Fax:337-893-5556
Practice Address - Street 1:1314 N LAFITTE RD
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-3149
Practice Address - Country:US
Practice Address - Phone:337-893-5588
Practice Address - Fax:337-893-5556
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4160101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)