Provider Demographics
NPI:1891181145
Name:SHAW, HOPE VICTORIA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:HOPE
Middle Name:VICTORIA
Last Name:SHAW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4109 BRENTWOOD PARK CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1301
Mailing Address - Country:US
Mailing Address - Phone:813-451-1129
Mailing Address - Fax:
Practice Address - Street 1:416 N 130TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-7910
Practice Address - Country:US
Practice Address - Phone:813-451-8829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor