Provider Demographics
NPI:1962831735
Name:THE LOIS RENFRO FOUNDATION
Entity Type:Organization
Organization Name:THE LOIS RENFRO FOUNDATION
Other - Org Name:HOPE HELP COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:BRUMMELL
Authorized Official - Suffix:
Authorized Official - Credentials:CDP LMHCA
Authorized Official - Phone:253-347-0428
Mailing Address - Street 1:105 M ST NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4430
Mailing Address - Country:US
Mailing Address - Phone:253-333-2328
Mailing Address - Fax:253-333-5068
Practice Address - Street 1:105 M ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4430
Practice Address - Country:US
Practice Address - Phone:253-333-2328
Practice Address - Fax:253-333-5068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA17159400251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency