Healthcare Provider Details

I. General information

NPI: 1821675752
Provider Name (Legal Business Name): HOPEFUL CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 38TH ST STE 100E
BOULDER CO
80301-2624
US

IV. Provider business mailing address

4331 SAGE CT
BOULDER CO
80301-3965
US

V. Phone/Fax

Practice location:
  • Phone: 530-400-6509
  • Fax:
Mailing address:
  • Phone: 530-400-6509
  • 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: LEANDI LANGENEGGER
Title or Position: MENTAL HEALTH COUNSELOR
Credential: MA, LPCC, NCC
Phone: 530-400-6509