Provider Demographics
NPI: | 1639983232 |
---|---|
Name: | HOPEFUL HEALING LLC |
Entity type: | Organization |
Organization Name: | HOPEFUL HEALING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | HOLLY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRETTELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCSW |
Authorized Official - Phone: | 303-868-1004 |
Mailing Address - Street 1: | 2420 S OSCEOLA ST |
Mailing Address - Street 2: | |
Mailing Address - City: | DENVER |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80219-5208 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 303-868-1004 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1660 S ALBION ST STE 515 |
Practice Address - Street 2: | |
Practice Address - City: | DENVER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80222-4043 |
Practice Address - Country: | US |
Practice Address - Phone: | 303-868-1004 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-02-04 |
Last Update Date: | 2025-03-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CO | 1063936961 | Other | NPI |