Healthcare Provider Details

I. General information

NPI: 1093472169
Provider Name (Legal Business Name): HOPEFUL THERAPY SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 LAKEVIEW PKWY STE 180
VERNON HILLS IL
60061-1429
US

IV. Provider business mailing address

977 LAKEVIEW PKWY STE 180
VERNON HILLS IL
60061-1429
US

V. Phone/Fax

Practice location:
  • Phone: 224-541-0189
  • Fax: 847-549-8006
Mailing address:
  • Phone: 224-541-0189
  • Fax: 847-549-8006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD R EGBERT
Title or Position: OWNER
Credential: LCPC
Phone: 224-541-0189