Healthcare Provider Details

I. General information

NPI: 1225190499
Provider Name (Legal Business Name): HOPE COUNSELING CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 SAVANNAH RD
SAINT JOSEPH MO
64505-1146
US

IV. Provider business mailing address

5414 SAVANNAH RD
SAINT JOSEPH MO
64505-1146
US

V. Phone/Fax

Practice location:
  • Phone: 816-364-4292
  • Fax: 816-364-2648
Mailing address:
  • Phone: 816-364-4292
  • Fax: 816-364-2648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001765
License Number StateMO

VIII. Authorized Official

Name: MRS. DIANE MARIE JOHNSON
Title or Position: PRESIDENT AND CEO
Credential: MS, LPC, NCC
Phone: 816-364-4292