Provider Demographics
NPI:1720869688
Name:HOPE AND HARMONY COUNSELING
Entity Type:Organization
Organization Name:HOPE AND HARMONY COUNSELING
Other - Org Name:DR. TRACE WONSER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:WONSER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:541-892-0518
Mailing Address - Street 1:501 MAIN ST STE 307
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-6049
Mailing Address - Country:US
Mailing Address - Phone:541-892-0518
Mailing Address - Fax:541-205-6058
Practice Address - Street 1:501 MAIN ST STE 307
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-6049
Practice Address - Country:US
Practice Address - Phone:541-892-0518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500715374Medicaid