Provider Demographics
NPI:1629856547
Name:HOPE AFTER HEALING
Entity Type:Organization
Organization Name:HOPE AFTER HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WELLING
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:707-280-4448
Mailing Address - Street 1:961 W WILLOW GARDEN PASEO
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-3874
Mailing Address - Country:US
Mailing Address - Phone:707-280-4448
Mailing Address - Fax:
Practice Address - Street 1:961 W WILLOW GARDEN PASEO
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-3874
Practice Address - Country:US
Practice Address - Phone:707-280-4448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health