Healthcare Provider Details

I. General information

NPI: 1386188134
Provider Name (Legal Business Name): HOPE N HEMMES MASTERS, QBHP, LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 E NEWELL ST
WHITE CLOUD MI
49349-8795
US

IV. Provider business mailing address

1600 CENTRAL PARK DR APT 10
GREENVILLE MI
48838-3591
US

V. Phone/Fax

Practice location:
  • Phone: 231-689-7330
  • Fax: 231-689-7345
Mailing address:
  • Phone: 616-302-9837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451018802
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: