Provider Demographics
NPI:1659010528
Name:ACCOMPLISHED HOPE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:ACCOMPLISHED HOPE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPY
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-205-0321
Mailing Address - Street 1:PO BOX 23
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NH
Mailing Address - Zip Code:03752-0023
Mailing Address - Country:US
Mailing Address - Phone:802-526-4878
Mailing Address - Fax:802-357-5833
Practice Address - Street 1:449 LEAR HILL RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773-7725
Practice Address - Country:US
Practice Address - Phone:802-526-4878
Practice Address - Fax:802-357-5883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)