Provider Demographics
NPI:1750925467
Name:CONNECTING HOPE COUNSELING SVCS INC
Entity type:Organization
Organization Name:CONNECTING HOPE COUNSELING SVCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOSO HINOJOSA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-630-3078
Mailing Address - Street 1:2670 HOLLYWOOD DR NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1918
Mailing Address - Country:US
Mailing Address - Phone:503-630-3078
Mailing Address - Fax:855-401-5750
Practice Address - Street 1:565 UNION ST NE STE 207
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2418
Practice Address - Country:US
Practice Address - Phone:503-630-3078
Practice Address - Fax:855-401-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty