Provider Demographics
NPI:1932799665
Name:HOPE COUNSELING & THERAPY SERVICES, LCPC
Entity Type:Organization
Organization Name:HOPE COUNSELING & THERAPY SERVICES, LCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKUM
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-258-8851
Mailing Address - Street 1:4700 N PROSPECT RD
Mailing Address - Street 2:STE A2D
Mailing Address - City:PEORIA HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:61616
Mailing Address - Country:US
Mailing Address - Phone:309-258-8851
Mailing Address - Fax:
Practice Address - Street 1:4700 N PROSPECT RD
Practice Address - Street 2:STE A2D
Practice Address - City:PEORIA HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:61616
Practice Address - Country:US
Practice Address - Phone:309-258-8851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty