Provider Demographics
NPI:1457984643
Name:HOPE IN HEALING LLC
Entity Type:Organization
Organization Name:HOPE IN HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:863-258-6954
Mailing Address - Street 1:4100 SPIRIT LAKE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-5081
Mailing Address - Country:US
Mailing Address - Phone:863-258-6954
Mailing Address - Fax:
Practice Address - Street 1:4100 SPIRIT LAKE RD STE 4
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-5081
Practice Address - Country:US
Practice Address - Phone:863-258-6954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty