Provider Demographics
NPI:1922499557
Name:GROWING HOPE COUNSELING PLLC
Entity Type:Organization
Organization Name:GROWING HOPE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:EVERSOLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-743-9470
Mailing Address - Street 1:41 GLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-2467
Mailing Address - Country:US
Mailing Address - Phone:501-743-9470
Mailing Address - Fax:501-843-1217
Practice Address - Street 1:217 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2944
Practice Address - Country:US
Practice Address - Phone:501-743-9470
Practice Address - Fax:501-843-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3887-C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health