Healthcare Provider Details

I. General information

NPI: 1578365672
Provider Name (Legal Business Name): HOPEWELL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N BROADWAY STE 100
EDMOND OK
73034-3642
US

IV. Provider business mailing address

7016 NW 160TH ST
EDMOND OK
73013-5844
US

V. Phone/Fax

Practice location:
  • Phone: 903-420-0434
  • Fax:
Mailing address:
  • Phone: 816-260-2017
  • Fax:

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 Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRUCE NUFFER
Title or Position: CO-OWNER
Credential:
Phone: 816-260-2017