Provider Demographics
NPI:1205458544
Name:HOPE & RECOVERY COUNSELING SERVICES
Entity type:Organization
Organization Name:HOPE & RECOVERY COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GARGANO
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, LMHC
Authorized Official - Phone:833-684-0799
Mailing Address - Street 1:706 KEATING AVE UPPR
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1251
Mailing Address - Country:US
Mailing Address - Phone:585-403-1165
Mailing Address - Fax:
Practice Address - Street 1:706 KEATING AVE UPPR
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1251
Practice Address - Country:US
Practice Address - Phone:833-684-0799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-09
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1730726183OtherNPI