Healthcare Provider Details

I. General information

NPI: 1891091666
Provider Name (Legal Business Name): HOPE & HEALING COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 W BROADWAY AVE STE 110
MINNEAPOLIS MN
55411-2531
US

IV. Provider business mailing address

1011 W BROADWAY AVE STE 110
MINNEAPOLIS MN
55411-2531
US

V. Phone/Fax

Practice location:
  • Phone: 612-886-4218
  • Fax: 800-640-5242
Mailing address:
  • Phone: 612-886-4218
  • Fax: 800-640-5242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number18096
License Number StateMN

VIII. Authorized Official

Name: MR. MARQUES DWELL ARMSTRONG
Title or Position: PRESIDENT & CEO
Credential:
Phone: 612-886-4218