Healthcare Provider Details

I. General information

NPI: 1861356800
Provider Name (Legal Business Name): HOPE AND HEALING PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S CHEROKEE ST APT 204
ALTA IA
51002-1370
US

IV. Provider business mailing address

201 S CHEROKEE ST APT 204
ALTA IA
51002-1370
US

V. Phone/Fax

Practice location:
  • Phone: 866-989-4318
  • Fax: 866-989-4948
Mailing address:
  • Phone: 866-989-4318
  • Fax: 866-989-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHERINE MARIE FREESE
Title or Position: OWNER, CLINICAL SOCIAL WORKER
Credential: LISW
Phone: 866-989-4318