Provider Demographics
NPI:1609221233
Name:DAWN OF HOPE COUNSELING, LLC
Entity Type:Organization
Organization Name:DAWN OF HOPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:MATHERLY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-717-8191
Mailing Address - Street 1:108 BLUEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1228
Mailing Address - Country:US
Mailing Address - Phone:504-717-8191
Mailing Address - Fax:985-214-9111
Practice Address - Street 1:1009 CARNATION ST
Practice Address - Street 2:SUITE F
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70460-1900
Practice Address - Country:US
Practice Address - Phone:985-214-9111
Practice Address - Fax:985-214-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5646101Y00000X
LA5153101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty