Healthcare Provider Details

I. General information

NPI: 1740062397
Provider Name (Legal Business Name): HOPE HIRSCH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 DAVIS ST
EVANSTON IL
60201-4619
US

IV. Provider business mailing address

7453 N WESTERN AVE APT 1N
CHICAGO IL
60645-1780
US

V. Phone/Fax

Practice location:
  • Phone: 708-574-4447
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178014356
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: