Provider Demographics
NPI:1770028755
Name:HOPE COUNSELING OF VENICE, LLC
Entity Type:Organization
Organization Name:HOPE COUNSELING OF VENICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:BRANHAM
Authorized Official - Last Name:ZAREMBA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:941-882-3980
Mailing Address - Street 1:1186 BIRD BAY WAY
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-6150
Mailing Address - Country:US
Mailing Address - Phone:941-275-3565
Mailing Address - Fax:
Practice Address - Street 1:1531 TAMIAMI TRL S
Practice Address - Street 2:SUITE 703
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-5570
Practice Address - Country:US
Practice Address - Phone:941-882-3980
Practice Address - Fax:941-882-3980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14037251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health