Provider Demographics
NPI:1659134799
Name:AFFIRMING HOPE COUNSELING LLC
Entity Type:Organization
Organization Name:AFFIRMING HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:FAIRHURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-781-2074
Mailing Address - Street 1:33 DIVISION RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-1410
Mailing Address - Country:US
Mailing Address - Phone:406-781-2074
Mailing Address - Fax:
Practice Address - Street 1:33 DIVISION RD UNIT 1
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-1410
Practice Address - Country:US
Practice Address - Phone:406-781-2074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty