MEDICARE: HARBOR OF HOPE 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	253J00000X	Foster Care Agency

General Provider Information

NPI Number	:	1215897822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR OF HOPE INC

Provider Business Mailing Address
First Line	:	901 N MCDONALD ST STE 607
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-2119
Country	:	US
Telephone Number	:	817-304-8207
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 N MCDONALD ST STE 607
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-2119
Country	:	US
Telephone Number	:	817-304-8207
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JAMI WAMPLER
Credential	:	LCSW, LCPAA, CPMS
Telephone Number	:	817-304-8207

Provider Enumeration Date	:	11/15/2025
Last Update Date	:	11/15/2025

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