Provider Demographics
NPI:1629492459
Name:HOPE ESPERANZA SERVICES, LLC
Entity Type:Organization
Organization Name:HOPE ESPERANZA SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,CSSW
Authorized Official - Phone:732-474-7378
Mailing Address - Street 1:191 NORTH AVE
Mailing Address - Street 2:#147
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1277
Mailing Address - Country:US
Mailing Address - Phone:732-474-7378
Mailing Address - Fax:732-582-2722
Practice Address - Street 1:129 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:DUNELLEN
Practice Address - State:NJ
Practice Address - Zip Code:08812-1243
Practice Address - Country:US
Practice Address - Phone:732-474-0295
Practice Address - Fax:732-582-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05631900101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty