Provider Demographics
NPI:1821309667
Name:HOPE COUNSELING SERVICES,LLC
Entity Type:Organization
Organization Name:HOPE COUNSELING SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:COFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MS,BS, SAP, LCDC
Authorized Official - Phone:281-309-4122
Mailing Address - Street 1:5116 ALBA RD
Mailing Address - Street 2:# 24
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1474
Mailing Address - Country:US
Mailing Address - Phone:713-681-0633
Mailing Address - Fax:
Practice Address - Street 1:11811 NORTH FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3245
Practice Address - Country:US
Practice Address - Phone:281-309-4122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-26
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10828101Y00000X, 101YA0400X
TX2524-1236101YM0800X, 174H00000X
OH06-08-10-PVN,C,S,P(6171M00000X
TX104240174H00000X
TX104615174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty