Provider Demographics
NPI:1639566441
Name:HOPE COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:HOPE COUNSELING CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORSOS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:614-252-2500
Mailing Address - Street 1:3964 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2949
Mailing Address - Country:US
Mailing Address - Phone:614-252-2500
Mailing Address - Fax:614-252-4200
Practice Address - Street 1:3964 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2949
Practice Address - Country:US
Practice Address - Phone:614-252-2500
Practice Address - Fax:614-252-4200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VICTORY MINISTRIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-20
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0501082-SUPV101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0388032Medicaid