MEDICARE: ILLUMINATED HOPE COUNSELING & CONSULTING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional 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	:	1942962626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ILLUMINATED HOPE COUNSELING & CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	1151 N BUCKNER BLVD STE 107
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3438
Country	:	US
Telephone Number	:	214-771-8852
Fax Number	:	214-238-6489

Provider Business Practice Location Address
First Line	:	1151 N BUCKNER BLVD STE 107
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3438
Country	:	US
Telephone Number	:	214-771-8852
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER/THERAPIST
Name	:	LESLIE BOUTTE
Credential	:	LPC-S, RPT-S
Telephone Number	:	214-771-8852

Provider Enumeration Date	:	10/09/2021
Last Update Date	:	03/04/2022

Similar Medicare Providers

1972208726 — DR. SAM KURIAN CHERIAN DNP, FNP
Practice Location Address:

1151 N BUCKNER BLVD STE 102
DALLAS, TX
75218-3438

Practice Phone: 214-328-7400
Practice Fax:

1376921338 — LESLIE MOSES BOUTTE LPC-S, RPT-S
Practice Location Address:

1151 N BUCKNER BLVD STE 107
DALLAS, TX
75218-3438

Practice Phone: 214-771-8852
Practice Fax:

1497279723 — ANA M GUZMAN LPC
Practice Location Address:

1151 N BUCKNER BLVD STE 107
DALLAS, TX
75218-3438

Practice Phone: 214-771-8852
Practice Fax:

1407332133 — MRS. LAUREN ELIZABETH COPENHAVER M.S., NCC, LPC
Practice Location Address:

1151 N BUCKNER BLVD STE 107
DALLAS, TX
75218-3438

Practice Phone: 214-771-8852
Practice Fax:

1053242032 — PLATINUM DIAGNOSTICS LLC
Practice Location Address:

10611 GARLAND RD STE 221
DALLAS, TX
75218-4804

Practice Phone: 254-727-0850
Practice Fax:

1831212513 — IRFAN SOHAIL MD
Practice Location Address:

10611 GARLAND RD STE 105
DALLAS, TX
75218-2680

Practice Phone: 469-904-2020
Practice Fax: 469-904-2028

Directions to “ILLUMINATED HOPE COUNSELING & CONSULTING, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.