Provider Demographics
NPI:1609547215
Name:HOPE CHILD & FAMILY PROFESSIONAL CLINICAL COUNSELOR SERVICES PROFESSIO
Entity Type:Organization
Organization Name:HOPE CHILD & FAMILY PROFESSIONAL CLINICAL COUNSELOR SERVICES PROFESSIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:LAROY
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:310-279-5282
Mailing Address - Street 1:9171 WILSHIRE BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5536
Mailing Address - Country:US
Mailing Address - Phone:424-274-0447
Mailing Address - Fax:213-515-6772
Practice Address - Street 1:9171 WILSHIRE BLVD STE 500
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5536
Practice Address - Country:US
Practice Address - Phone:424-274-0447
Practice Address - Fax:213-515-6772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty