Healthcare Provider Details

I. General information

NPI: 1811355746
Provider Name (Legal Business Name): DISCOVER HOPE CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2016
Last Update Date: 02/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 LAKEWOOD AVE
LIMA OH
45805-3143
US

IV. Provider business mailing address

2025 LAKEWOOD AVE
LIMA OH
45805-3143
US

V. Phone/Fax

Practice location:
  • Phone: 419-202-2174
  • Fax:
Mailing address:
  • Phone: 419-202-2174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1430013
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. ALLISON RENEE JONES
Title or Position: LICENSED INDEPENDENT SOCIAL WORKER
Credential: LISW
Phone: 419-202-2174