Provider Demographics
NPI:1942338116
Name:HOPE, SANDRA A (MS, NCC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:A
Last Name:HOPE
Suffix:
Gender:F
Credentials:MS, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1307
Mailing Address - Country:US
Mailing Address - Phone:585-352-8019
Mailing Address - Fax:
Practice Address - Street 1:138 S UNION ST STE A
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14559-1336
Practice Address - Country:US
Practice Address - Phone:585-349-0820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health