Healthcare Provider Details

I. General information

NPI: 1073497616
Provider Name (Legal Business Name): H.O.P.E. COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 BROWNS POND RD
SALLEY SC
29137-9054
US

IV. Provider business mailing address

PO BOX 505
WAGENER SC
29164-0505
US

V. Phone/Fax

Practice location:
  • Phone: 803-234-1213
  • Fax:
Mailing address:
  • Phone: 803-234-1213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH URBAN
Title or Position: SINGLE MEMBER
Credential: MAPC, LPC, NBCC
Phone: 803-234-1213