Provider Demographics
NPI:1679180905
Name:HOPE SPRINGS COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:HOPE SPRINGS COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KENYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:318-617-5953
Mailing Address - Street 1:5180 LINTON CUTOFF RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006-8770
Mailing Address - Country:US
Mailing Address - Phone:318-617-5953
Mailing Address - Fax:
Practice Address - Street 1:3800 VIKING DR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-7403
Practice Address - Country:US
Practice Address - Phone:318-617-5953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health