MEDICARE: HOPE COUNSELING CENTER INC

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194253351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE COUNSELING CENTER INC

Provider Business Mailing Address
First Line	:	1245 SHERMAN ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 SHERMAN ST
Second Line	:
City	:	HOT SPRINGS
State	:	SD
Zip	:	57747-1465
Country	:	US
Telephone Number	:	605-745-5334
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALISON RITTERBUSH
Credential	:	LPC-MH, QMHP
Telephone Number	:	605-745-5334

Provider Enumeration Date	:	05/31/2017
Last Update Date	:	05/31/2017

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