Healthcare Provider Details

I. General information

NPI: 1407699655
Provider Name (Legal Business Name): HOPEWAYS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 HUBER PARK CT STE 171
WELDON SPRING MO
63304-8666
US

IV. Provider business mailing address

520 HUBER PARK CT STE 171
WELDON SPRING MO
63304-8666
US

V. Phone/Fax

Practice location:
  • Phone: 636-344-9953
  • Fax:
Mailing address:
  • Phone: 636-344-9953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE ANN BRUNSON
Title or Position: OWNER
Credential: LPC
Phone: 636-384-3894