Provider Demographics
NPI:1295339687
Name:HOPES, MICHAELA FAY (LMHC)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:FAY
Last Name:HOPES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MICHAELA
Other - Middle Name:FAY
Other - Last Name:EGESDAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:103 E STATE ST STE 301
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3309
Mailing Address - Country:US
Mailing Address - Phone:641-421-2089
Mailing Address - Fax:
Practice Address - Street 1:600 42ND ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-2701
Practice Address - Country:US
Practice Address - Phone:515-255-8399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health