Healthcare Provider Details

I. General information

NPI: 1356279855
Provider Name (Legal Business Name): VALLEY OF HOPE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 JEFFERSON RD
PHENIX CITY AL
36869-2619
US

IV. Provider business mailing address

517 JEFFERSON RD
PHENIX CITY AL
36869-2619
US

V. Phone/Fax

Practice location:
  • Phone: 706-573-3493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CANDACE ALEXIS BLACKWOOD
Title or Position: OWNER/PROFESSIONAL COUNSELOR
Credential: EDS, LPC, NCC
Phone: 706-573-3493