Provider Demographics
NPI:1881223113
Name:OTTO, HOPE MARIE (LPC-INTERN, NCC)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:MARIE
Last Name:OTTO
Suffix:
Gender:F
Credentials:LPC-INTERN, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3718 GRAND HILLS LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5369
Mailing Address - Country:US
Mailing Address - Phone:281-993-4908
Mailing Address - Fax:
Practice Address - Street 1:3718 GRAND HILLS LN
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5369
Practice Address - Country:US
Practice Address - Phone:832-569-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional