Provider Demographics
NPI:1740737998
Name:HOPE FOR HEALING, LLC
Entity Type:Organization
Organization Name:HOPE FOR HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:785-534-1455
Mailing Address - Street 1:710 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-3324
Mailing Address - Country:US
Mailing Address - Phone:785-534-1455
Mailing Address - Fax:785-534-1456
Practice Address - Street 1:710 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-3324
Practice Address - Country:US
Practice Address - Phone:785-534-1455
Practice Address - Fax:785-534-1456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9415104100000X
KS2764106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty