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NPI Code Detail

MEDICARE: HOPE COUNSELING CENTER, LLC

MEDICARE: HOPE COUNSELING CENTER, 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
1101Y00000XCounselorE0501082-SUPVOH

Other Identifiers

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

General Provider Information

NPI Number : 1639566441
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE COUNSELING CENTER, LLC
Provider Business Mailing Address
First Line : 3964 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2949
Country : US
Telephone Number : 614-252-2500
Fax Number : 614-252-4200
Provider Business Practice Location Address
First Line : 3964 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2949
Country : US
Telephone Number : 614-252-2500
Fax Number : 614-252-4200
Authorized Official
Title or Position : DIRECTOR
Name : JEREMY BORSOS
Credential : LPCC
Telephone Number : 614-252-2500
Provider Enumeration Date : 04/20/2015
Last Update Date : 04/25/2022

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