MEDICARE: IGNITING HOPE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1023855350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IGNITING HOPE COUNSELING LLC

Provider Business Mailing Address
First Line	:	1658 W SUMMERDALE AVE APT 2W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-8723
Country	:	US
Telephone Number	:	305-731-4070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1658 W SUMMERDALE AVE APT 2W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-8723
Country	:	US
Telephone Number	:	305-731-4070
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	DRAKE SCHOEPPL
Credential	:	LCSW
Telephone Number	:	305-731-4070

Provider Enumeration Date	:	07/12/2024
Last Update Date	:	07/12/2024

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