Healthcare Provider Details

I. General information

NPI: 1609784651
Provider Name (Legal Business Name): HARBOR AND HOPE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1347 W MAIN ST
DOTHAN AL
36301-1309
US

IV. Provider business mailing address

107 THRUSH LN
DOTHAN AL
36303-1430
US

V. Phone/Fax

Practice location:
  • Phone: 334-883-1703
  • Fax:
Mailing address:
  • Phone: 334-883-1703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA KEENER
Title or Position: OWNER
Credential: ALC
Phone: 334-883-1703