Provider Demographics
NPI:1790203263
Name:ENDLESS HOPE DISCOVERIES, LLC
Entity Type:Organization
Organization Name:ENDLESS HOPE DISCOVERIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:GOUSS
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC, MAC, CADC, CCS
Authorized Official - Phone:540-369-8183
Mailing Address - Street 1:2020 LAFAYETTE BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-2274
Mailing Address - Country:US
Mailing Address - Phone:540-369-8183
Mailing Address - Fax:540-369-8183
Practice Address - Street 1:2020 LAFAYETTE BLVD STE E
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-2274
Practice Address - Country:US
Practice Address - Phone:540-369-8183
Practice Address - Fax:540-369-8183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENDLESS HOPE DISCOVERIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102690101YA0400X
1109101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty