Healthcare Provider Details

I. General information

NPI: 1518323849
Provider Name (Legal Business Name): JOURNEY OF HOPE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2015
Last Update Date: 12/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5504 MAIN STREET
DRYDEN MI
48428
US

IV. Provider business mailing address

253 CLINTON ST
ROMEO MI
48065-4712
US

V. Phone/Fax

Practice location:
  • Phone: 810-706-0081
  • Fax:
Mailing address:
  • Phone: 810-706-0081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number64701011788
License Number StateMI

VIII. Authorized Official

Name: MRS. CHRISTINE MARY SENDEK
Title or Position: OWNER/THERAPIST - PRIVATE PRACTICE
Credential: MA, LPC
Phone: 810-706-0081