Provider Demographics
NPI:1831695469
Name:HOPE CHRISTIAN COUNSELING CENTER
Entity type:Organization
Organization Name:HOPE CHRISTIAN COUNSELING CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LISW-S
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:419-724-4233
Mailing Address - Street 1:900 W SOUTH BOUNDARY ST BLDG 7B
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5244
Mailing Address - Country:US
Mailing Address - Phone:419-724-4233
Mailing Address - Fax:877-622-7635
Practice Address - Street 1:900 W SOUTH BOUNDARY ST BLDG 7B
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5244
Practice Address - Country:US
Practice Address - Phone:419-724-4233
Practice Address - Fax:877-622-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0009614261QM0801X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty