Provider Demographics
NPI:1841590924
Name:HEART OF HOPE COUNSELING AND MEDIATION PLLC
Entity Type:Organization
Organization Name:HEART OF HOPE COUNSELING AND MEDIATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:LUNDBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:325-247-4477
Mailing Address - Street 1:103 E MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LLANO
Mailing Address - State:TX
Mailing Address - Zip Code:78643-2000
Mailing Address - Country:US
Mailing Address - Phone:830-265-8450
Mailing Address - Fax:
Practice Address - Street 1:103 E MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-2000
Practice Address - Country:US
Practice Address - Phone:325-247-4477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-23
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty