Healthcare Provider Details

I. General information

NPI: 1679986368
Provider Name (Legal Business Name): WORDS OF HOPE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 06/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 W RIVER RD
CENTRALIA WA
98531-3349
US

IV. Provider business mailing address

540 W RIVER RD
CENTRALIA WA
98531-3349
US

V. Phone/Fax

Practice location:
  • Phone: 360-269-1780
  • Fax: 360-736-2304
Mailing address:
  • Phone: 360-269-1780
  • Fax: 360-736-2304

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 Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA LOUISE AMES
Title or Position: OWNER
Credential: LMHC, LMFT
Phone: 360-269-1780