Provider Demographics
NPI:1194514778
Name:RESTORING HOPE MINISTRIES INC
Entity type:Organization
Organization Name:RESTORING HOPE MINISTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD COUNSELING PASTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, THD, MS, SAC-IT
Authorized Official - Phone:920-246-5990
Mailing Address - Street 1:1132 REED ST
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54303-3023
Mailing Address - Country:US
Mailing Address - Phone:715-972-6182
Mailing Address - Fax:715-972-6182
Practice Address - Street 1:710 DESPLAINE RD
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-3718
Practice Address - Country:US
Practice Address - Phone:920-246-5990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No282J00000XHospitalsReligious Nonmedical Health Care Institution