Provider Demographics
NPI:1689437907
Name:DYNAMIC HOPE COUNSELING SERVICES
Entity Type:Organization
Organization Name:DYNAMIC HOPE COUNSELING SERVICES
Other - Org Name:CHRISTINA G SMITH
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / MANAGER / COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-S, RPT
Authorized Official - Phone:817-654-5790
Mailing Address - Street 1:6105 DENTON HWY STE 80
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76148-3021
Mailing Address - Country:US
Mailing Address - Phone:817-654-5790
Mailing Address - Fax:
Practice Address - Street 1:6105 DENTON HWY STE 80
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76148-3021
Practice Address - Country:US
Practice Address - Phone:817-654-5790
Practice Address - Fax:817-221-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)