Healthcare Provider Details

I. General information

NPI: 1497481725
Provider Name (Legal Business Name): RECOVERY OF HOPE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E 14TH ST
HASTINGS NE
68901-3200
US

IV. Provider business mailing address

223 E 14TH ST
HASTINGS NE
68901-3200
US

V. Phone/Fax

Practice location:
  • Phone: 402-460-1062
  • Fax: 402-463-9124
Mailing address:
  • Phone: 402-460-1062
  • Fax: 402-463-9124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DEBBIE JO KRAMER-REYNOLDS
Title or Position: PLADC
Credential:
Phone: 402-460-1062