Provider Demographics
NPI:1760957377
Name:VICTORY THROUGH HOPE
Entity Type:Organization
Organization Name:VICTORY THROUGH HOPE
Other - Org Name:HOPE A. KRASNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KRASNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:505-363-0250
Mailing Address - Street 1:830 LIVE OAK RD NE APT B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-1438
Mailing Address - Country:US
Mailing Address - Phone:505-363-0250
Mailing Address - Fax:
Practice Address - Street 1:5800 MCLEOD RD NE STE F
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2467
Practice Address - Country:US
Practice Address - Phone:505-363-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM95106839Medicaid