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General NPI Number Information
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NPI Number | 1235646043
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Entity Type | Organization
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Legal Business Name | H.O.P.E. FAMILY SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 291 INDEPENDENCE BLVD STE 532
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5473
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Country | US
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Telephone | 757-962-6889
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Fax | 757-962-6889
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Provider Business Mailing Address
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Address Line | 291 INDEPENDENCE BLVD STE 532
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5473
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Country | US
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Telephone | 757-962-6889
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Fax | 757-962-6889
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Authorized Official
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Title or Position | LPC
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Name | KIMBERLY PENERTON
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Credential |
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Telephone | 757-962-6889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 922994
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License Number State | VA
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