Provider Demographics
NPI:1013617448
Name:HOPE CHRISTIAN COUNSELING INC
Entity Type:Organization
Organization Name:HOPE CHRISTIAN COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:801-648-9860
Mailing Address - Street 1:5929 FASHION POINT DR STE 130
Mailing Address - Street 2:
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4683
Mailing Address - Country:US
Mailing Address - Phone:801-648-9860
Mailing Address - Fax:
Practice Address - Street 1:5929 FASHION POINT DR STE 130
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4683
Practice Address - Country:US
Practice Address - Phone:801-648-9860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)