Healthcare Provider Details

I. General information

NPI: 1376142497
Provider Name (Legal Business Name): HOPE SPRINGS PSYCHOTHERAPY AND CONSULTING, A PROFESSIONAL CORPORAT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 DELTA FAIR BLVD STE 210
ANTIOCH CA
94509-4074
US

IV. Provider business mailing address

3700 DELTA FAIR BLVD STE 210
ANTIOCH CA
94509-4074
US

V. Phone/Fax

Practice location:
  • Phone: 925-303-6058
  • Fax:
Mailing address:
  • Phone: 925-303-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. FELISA GAFFNEY
Title or Position: CEO
Credential:
Phone: 925-303-6058