MEDICARE: HOPE COUNSELING & CONSULTING, PLLC

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	:	1851558225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE COUNSELING & CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 4504
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-0010
Country	:	US
Telephone Number	:	804-745-8812
Fax Number	:	804-745-8813

Provider Business Practice Location Address
First Line	:	9507 HULL STREET RD
Second Line	:	SUITE C
City	:	RICHMOND
State	:	VA
Zip	:	23236-1476
Country	:	US
Telephone Number	:	804-745-8812
Fax Number	:	804-745-8813

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ROBIN FARRAR
Credential	:
Telephone Number	:	804-745-8812

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	05/21/2008

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