Provider Demographics
NPI:1710754460
Name:HOPE OUTPATIENT & GHADA COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:HOPE OUTPATIENT & GHADA COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GHADA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHJOUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-552-5642
Mailing Address - Street 1:8019 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-2786
Mailing Address - Country:US
Mailing Address - Phone:215-552-5642
Mailing Address - Fax:
Practice Address - Street 1:8019 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-2786
Practice Address - Country:US
Practice Address - Phone:215-552-5642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health