Healthcare Provider Details

I. General information

NPI: 1295292753
Provider Name (Legal Business Name): HOPE RISING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 15TH ST NW STE D
NEW BRIGHTON MN
55112-5606
US

IV. Provider business mailing address

2475 15TH ST NW STE D
NEW BRIGHTON MN
55112-5606
US

V. Phone/Fax

Practice location:
  • Phone: 612-406-4083
  • Fax: 612-439-8907
Mailing address:
  • Phone: 612-406-4083
  • Fax: 612-439-8907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA COLAI
Title or Position: OWNER
Credential: LMFT RPT
Phone: 612-406-4083