Healthcare Provider Details

I. General information

NPI: 1063932424
Provider Name (Legal Business Name): HOPE FOR HEALING COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 MAIN ST STE 5
BENNINGTON VT
05201-2871
US

IV. Provider business mailing address

655 MAIN ST STE 5
BENNINGTON VT
05201-2871
US

V. Phone/Fax

Practice location:
  • Phone: 802-494-4040
  • Fax: 602-491-2119
Mailing address:
  • Phone: 802-494-4040
  • 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 Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: STACY D'LYNN EGGSWARE
Title or Position: OWNER
Credential: MC, LPC, LCMHC
Phone: 802-494-4040