Healthcare Provider Details

I. General information

NPI: 1407618507
Provider Name (Legal Business Name): HOPEWELL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HEBRON AVE STE 203
GLASTONBURY CT
06033-2192
US

IV. Provider business mailing address

300 HEBRON AVE STE 203
GLASTONBURY CT
06033-2192
US

V. Phone/Fax

Practice location:
  • Phone: 860-946-0447
  • Fax: 860-781-8588
Mailing address:
  • Phone: 860-946-0447
  • Fax: 860-781-8588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
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
# 6
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRISTINE SCHLICHTING
Title or Position: OWNER
Credential: PHD
Phone: 860-946-0447