Provider Demographics
NPI:1851769509
Name:HOPE AND HEALING COUNSELING SERVICES
Entity Type:Organization
Organization Name:HOPE AND HEALING COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:VANDERSHAAF
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-443-5795
Mailing Address - Street 1:19508 DANFORTH FARMS BLVD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-3475
Mailing Address - Country:US
Mailing Address - Phone:405-443-5795
Mailing Address - Fax:
Practice Address - Street 1:19508 DANFORTH FARMS BLVD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-3475
Practice Address - Country:US
Practice Address - Phone:405-443-5795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4983251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health