Healthcare Provider Details

I. General information

NPI: 1992423933
Provider Name (Legal Business Name): HIGH HOPES COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TELETHERAPY
ALBUQUERQUE NM
87106
US

IV. Provider business mailing address

C/O MICAH MACDONALD PO BOX 4803
ALBUQUERQUE NM
87196
US

V. Phone/Fax

Practice location:
  • Phone: 505-456-3950
  • Fax:
Mailing address:
  • Phone: 505-456-3950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MICAH MACDONALD
Title or Position: OWNER
Credential: LPCC
Phone: 505-429-9277