Healthcare Provider Details
I. General information
NPI: 1689022790
Provider Name (Legal Business Name): HOPE AGAIN COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2016
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1420 MERRITT BLVD STE B
DUNDALK MD
21222-2192
US
IV. Provider business mailing address
1420 MERRITT BLVD STE B
DUNDALK MD
21222-2192
US
V. Phone/Fax
- Phone: 410-698-8442
- Fax:
- Phone: 410-698-8442
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | LGP6393 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
DIGGS
Title or Position: OWNER
Credential: LCPC
Phone: 410-698-8442