Provider Demographics
NPI:1629853973
Name:HOPEFUL-HEARTED COUNSELING, LLC
Entity Type:Organization
Organization Name:HOPEFUL-HEARTED COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELSIE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:DITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-272-6074
Mailing Address - Street 1:126 DONNA LN
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:LA
Mailing Address - Zip Code:71078-9662
Mailing Address - Country:US
Mailing Address - Phone:318-272-6074
Mailing Address - Fax:
Practice Address - Street 1:8848 YOUREE DR STE 15
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71115-2512
Practice Address - Country:US
Practice Address - Phone:318-272-6074
Practice Address - Fax:337-321-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty