Healthcare Provider Details

I. General information

NPI: 1033074729
Provider Name (Legal Business Name): HOPEFUL HORIZONS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LAKE SAINT LOUIS BLVD STE 223
LAKE SAINT LOUIS MO
63367-2924
US

IV. Provider business mailing address

1000 LAKE SAINT LOUIS BLVD STE 223
LAKE SAINT LOUIS MO
63367-2924
US

V. Phone/Fax

Practice location:
  • Phone: 636-345-4744
  • Fax:
Mailing address:
  • Phone: 636-345-4744
  • Fax:

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: JANICE LYNN WADE
Title or Position: OWNER/THERAPIST
Credential: LMFT
Phone: 636-345-4744