Provider Demographics
NPI:1720500093
Name:HOPE AND A FUTURE MINISTRIES INC
Entity Type:Organization
Organization Name:HOPE AND A FUTURE MINISTRIES INC
Other - Org Name:LIVING WELL COUNSELING AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DORE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-339-5937
Mailing Address - Street 1:7334 BERRY AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-7642
Mailing Address - Country:US
Mailing Address - Phone:904-339-5937
Mailing Address - Fax:
Practice Address - Street 1:7334 BERRY AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226
Practice Address - Country:US
Practice Address - Phone:904-339-5937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty