Healthcare Provider Details

I. General information

NPI: 1841659802
Provider Name (Legal Business Name): HOPE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 LEAVITT ROAD #1
PITTSFIELD NH
03263
US

IV. Provider business mailing address

520 CATAMOUNT ROAD
PITTSFIELD NH
03263
US

V. Phone/Fax

Practice location:
  • Phone: 603-709-8560
  • Fax: 800-776-6681
Mailing address:
  • Phone: 401-757-0482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHC00657
License Number StateRI
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: WESTON MARTIN
Title or Position: OWNER
Credential:
Phone: 401-523-5856