Provider Demographics
NPI:1821153438
Name:FAITH AND HOPE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:FAITH AND HOPE COUNSELING SERVICES, LLC
Other - Org Name:FAITH AND HOPE COUNSELING SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:CORINNE
Authorized Official - Last Name:TURAY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:636-561-5673
Mailing Address - Street 1:FAITH AND HOPE COUNSELING SERVICES, LLC
Mailing Address - Street 2:1000 LK. ST. LOUIS BLVD. STE 204
Mailing Address - City:LAKE ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-2921
Mailing Address - Country:US
Mailing Address - Phone:636-332-4487
Mailing Address - Fax:636-639-6755
Practice Address - Street 1:FAITH AND HOPE COUNSELING SERVICES, LLC
Practice Address - Street 2:1000 LK. ST. LOUIS BLVD. STE 204
Practice Address - City:LAKE ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-2921
Practice Address - Country:US
Practice Address - Phone:636-332-4487
Practice Address - Fax:636-639-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0046401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA904492OtherVALUE OPTIONS
MO0007582461OtherAETNA
MOA904492OtherREGENCE BLUE SHIELD
MO=========OtherFEI BEHAVIORAL HEALTH
MO0007582461OtherAETNA
MO=========OtherMHNET
MOA904492OtherVALUE OPTIONS
MO=========OtherMHNET
MO6259832Medicare UPIN
MO221197Medicare UPIN
MO=========OtherGREAT WEST HEALTH CARE
MO=========OtherFEI BEHAVIORAL HEALTH
MO388894Medicare UPIN
MO188028Medicare UPIN