Provider Demographics
NPI:1619734860
Name:HOPE RESTORED COUNSELING
Entity Type:Organization
Organization Name:HOPE RESTORED COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DELMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PORTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-900-2042
Mailing Address - Street 1:10933 DANUBE AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5413
Mailing Address - Country:US
Mailing Address - Phone:310-622-2842
Mailing Address - Fax:
Practice Address - Street 1:10933 DANUBE AVE
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5413
Practice Address - Country:US
Practice Address - Phone:310-622-2842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINGDOM HARVEST ENTERPRISE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health