Healthcare Provider Details

I. General information

NPI: 1689306789
Provider Name (Legal Business Name): HOPE IS HERE COUNSELING AND CONSULTING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 04/20/2024
Certification Date: 04/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11223 CORNELL PARK DR STE 102
BLUE ASH OH
45242-1835
US

IV. Provider business mailing address

11223 CORNELL PARK DR STE 102
BLUE ASH OH
45242-1835
US

V. Phone/Fax

Practice location:
  • Phone: 513-982-2442
  • Fax: 513-982-2424
Mailing address:
  • Phone: 513-982-2525
  • Fax: 513-982-2424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ESPERANZA VERNADRES GALLON
Title or Position: PRESIDENT
Credential: LPCC
Phone: 513-982-2525