Provider Demographics
NPI:1659048742
Name:HOPE WITHIN COUNSELING SERVICES LCSW PLLC
Entity Type:Organization
Organization Name:HOPE WITHIN COUNSELING SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:OBANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-218-1735
Mailing Address - Street 1:60-18 71ST. AVE.
Mailing Address - Street 2:APT M
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385
Mailing Address - Country:US
Mailing Address - Phone:939-218-1735
Mailing Address - Fax:
Practice Address - Street 1:60-18 71ST. AVE.
Practice Address - Street 2:APT M
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385
Practice Address - Country:US
Practice Address - Phone:939-218-1735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)