Healthcare Provider Details
I. General information
NPI: 1205746955
Provider Name (Legal Business Name): HOPEFULL OUTLOOK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2820 W 21ST ST STE 218
ERIE PA
16506-2983
US
IV. Provider business mailing address
2820 W 21ST ST STE 218
ERIE PA
16506-2983
US
V. Phone/Fax
- Phone: 814-317-6497
- Fax:
- Phone: 814-317-6497
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CARLA
M
STORRS
Title or Position: LCSW
Credential:
Phone: 814-317-6497