Healthcare Provider Details

I. General information

NPI: 1396528683
Provider Name (Legal Business Name): THE INSTITUTE FOR HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 DEL PRADO BLVD S STE 203
CAPE CORAL FL
33990-3628
US

IV. Provider business mailing address

923 DEL PRADO BLVD S STE 203
CAPE CORAL FL
33990-3628
US

V. Phone/Fax

Practice location:
  • Phone: 786-357-2055
  • Fax:
Mailing address:
  • Phone: 786-357-2055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: BETTY RODRIGUEZ
Title or Position: OWNER
Credential: LMHC
Phone: 786-357-2055