Healthcare Provider Details

I. General information

NPI: 1104455013
Provider Name (Legal Business Name): HOPE FOR THE FUTURE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 3RD ST E
LEESBURG GA
31763-4316
US

IV. Provider business mailing address

700 GA HIGHWAY 118
LESLIE GA
31764-2554
US

V. Phone/Fax

Practice location:
  • Phone: 229-947-1009
  • Fax: 229-874-1661
Mailing address:
  • Phone: 229-947-1009
  • Fax: 229-874-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA ELAINE LASSITER
Title or Position: CEO/DIRECTOR
Credential: LPC
Phone: 229-942-0661