Provider Demographics
NPI:1821235557
Name:CIRCLE OF HOPE COUNSELING
Entity Type:Organization
Organization Name:CIRCLE OF HOPE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:TOLIVER-HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSAC
Authorized Official - Phone:540-915-2768
Mailing Address - Street 1:325 MOUNTAIN AVE SW STE 3
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4044
Mailing Address - Country:US
Mailing Address - Phone:540-206-2330
Mailing Address - Fax:540-206-2330
Practice Address - Street 1:325 MOUNTAIN AVE SW STE 3
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4044
Practice Address - Country:US
Practice Address - Phone:540-206-2330
Practice Address - Fax:540-206-2330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710001076101YA0400X
VA0904006914101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty