Provider Demographics
NPI:1760070692
Name:HOPEFUL WATERS COUNSELING, PLLC
Entity Type:Organization
Organization Name:HOPEFUL WATERS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EARLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARNES-ULLRICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:512-587-0714
Mailing Address - Street 1:PO BOX 1863
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78646-1863
Mailing Address - Country:US
Mailing Address - Phone:737-215-8655
Mailing Address - Fax:
Practice Address - Street 1:12001 W PARMER LN STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7764
Practice Address - Country:US
Practice Address - Phone:737-215-8655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)