Provider Demographics
NPI:1023496262
Name:INHOPE COUNSELING SERVICES COMPANY
Entity type:Organization
Organization Name:INHOPE COUNSELING SERVICES COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PSYCHOTHERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:GONGOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:479-393-9866
Mailing Address - Street 1:1305 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72801-5322
Mailing Address - Country:US
Mailing Address - Phone:479-393-9866
Mailing Address - Fax:479-358-1464
Practice Address - Street 1:1305 E MAIN ST
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72801-5322
Practice Address - Country:US
Practice Address - Phone:479-393-9866
Practice Address - Fax:479-358-1464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0512076101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty