Healthcare Provider Details
I. General information
NPI: 1508778002
Provider Name (Legal Business Name): BOUND BY HOPE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
735 NORTH ERICSON ROAD
CORDOVA TN
38018-1492
US
IV. Provider business mailing address
735 N ERICSON RD
CORDOVA TN
38018-1492
US
V. Phone/Fax
- Phone: 901-652-0171
- Fax:
- Phone: 901-652-0171
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
MCCRAY
Title or Position: OWNER
Credential: MA, LPC-MHSP
Phone: 901-652-0171