Provider Demographics
NPI:1669848081
Name:ORCHID OF HOPE COUNSELING
Entity Type:Organization
Organization Name:ORCHID OF HOPE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PLMHP
Authorized Official - Phone:402-880-2101
Mailing Address - Street 1:1835 E MILITARY AVE STE 129
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-5477
Mailing Address - Country:US
Mailing Address - Phone:402-880-2101
Mailing Address - Fax:
Practice Address - Street 1:1835 E MILITARY AVE STE 129
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5477
Practice Address - Country:US
Practice Address - Phone:402-880-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty