MEDICARE: HOPE 4 2MORROW COUNSELING & TREATMENT CENTER

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	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1316646854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE 4 2MORROW COUNSELING & TREATMENT CENTER

Provider Business Mailing Address
First Line	:	2323 LAKE CLUB DR STE 301
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3198
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LAKE CLUB DR STE 301
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3198
Country	:	US
Telephone Number	:	614-604-8573
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS
Name	:	MICHELLE JOHNSON
Credential	:
Telephone Number	:	614-604-8573

Provider Enumeration Date	:	02/23/2023
Last Update Date	:	02/23/2023

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