Provider Demographics
NPI:1801619200
Name:COMMITMENT TO HOPE MENTAL HEALTH COUNSELING CENTER LLC
Entity type:Organization
Organization Name:COMMITMENT TO HOPE MENTAL HEALTH COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GWENETTE
Authorized Official - Middle Name:MAURELL
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:440-799-7559
Mailing Address - Street 1:1460 ROCKEFELLER RD
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1932
Mailing Address - Country:US
Mailing Address - Phone:440-799-7559
Mailing Address - Fax:
Practice Address - Street 1:1460 ROCKEFELLER RD
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-1932
Practice Address - Country:US
Practice Address - Phone:440-799-7559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty