Healthcare Provider Details

I. General information

NPI: 1538603550
Provider Name (Legal Business Name): HOPEFUL SOLUTIONS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2016
Last Update Date: 12/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 JULIANNA CT STE 1
ELIZABETHTOWN KY
42701-7937
US

IV. Provider business mailing address

1105 JULIANNA CT STE 1
ELIZABETHTOWN KY
42701-7937
US

V. Phone/Fax

Practice location:
  • Phone: 270-769-3714
  • Fax: 270-769-0335
Mailing address:
  • Phone: 270-769-3714
  • Fax: 270-769-0335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number103821
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number102108
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number106483
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1031647
License Number StateKY

VIII. Authorized Official

Name: MS. CHANIN MICHELLE BROWN
Title or Position: OWNER
Credential: LPCC
Phone: 270-769-3714