Healthcare Provider Details

I. General information

NPI: 1164036240
Provider Name (Legal Business Name): HIGH HOPES COUNSELING FOUNDATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W MAIN ST
TUSTIN CA
92780-4360
US

IV. Provider business mailing address

145 W MAIN ST STE 200
TUSTIN CA
92780-4360
US

V. Phone/Fax

Practice location:
  • Phone: 657-200-5533
  • Fax:
Mailing address:
  • Phone: 657-200-5533
  • Fax: 714-657-8471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICOLE CARSON
Title or Position: CEO
Credential: MFT
Phone: 657-333-5805