Healthcare Provider Details

I. General information

NPI: 1649676883
Provider Name (Legal Business Name): HOPE STEIN LCSW, CADC, PMAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2014
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 CREEKSIDE DR
FLOURTOWN PA
19031-1324
US

IV. Provider business mailing address

6009 CREEKSIDE DR
FLOURTOWN PA
19031-1324
US

V. Phone/Fax

Practice location:
  • Phone: 267-972-7494
  • Fax:
Mailing address:
  • Phone: 267-972-7494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCW023841
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCW023841
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8315
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number467133
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: