Provider Demographics
NPI:1760880116
Name:HOPE AND HEALTH COUNSELING CENTER INC
Entity Type:Organization
Organization Name:HOPE AND HEALTH COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZULEMA
Authorized Official - Middle Name:FOYO
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:954-702-0477
Mailing Address - Street 1:3595 SHERIDAN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3657
Mailing Address - Country:US
Mailing Address - Phone:954-702-0477
Mailing Address - Fax:
Practice Address - Street 1:3595 SHERIDAN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3657
Practice Address - Country:US
Practice Address - Phone:954-702-0477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW110761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1316229800OtherMEDICARE PTAN: HQ450Z CCN: 371331579621-001