Provider Demographics
NPI:1851066484
Name:HOPE FOR THE HOME, INC
Entity Type:Organization
Organization Name:HOPE FOR THE HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:CHIPMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-387-9127
Mailing Address - Street 1:6933 COMMONS PLZ STE 242
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-6457
Mailing Address - Country:US
Mailing Address - Phone:804-271-2423
Mailing Address - Fax:
Practice Address - Street 1:10301 MEMORY LN
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-8814
Practice Address - Country:US
Practice Address - Phone:804-271-2423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty