Provider Demographics
NPI:1629714324
Name:HOPE, STEPHANIE GARTH (LPC)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:GARTH
Last Name:HOPE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611A AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-5104
Mailing Address - Country:US
Mailing Address - Phone:434-962-5019
Mailing Address - Fax:
Practice Address - Street 1:130 LOUISA AVENUE
Practice Address - Street 2:
Practice Address - City:MINERAL
Practice Address - State:VA
Practice Address - Zip Code:23117
Practice Address - Country:US
Practice Address - Phone:540-854-1914
Practice Address - Fax:540-894-4020
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health