=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285879478
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOPE COUNSELING, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2008
-----------------------------------------------------
Last Update Date | 12/03/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3166 N. VERMILION ST.
-----------------------------------------------------
City | DANVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61832-1166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-431-8825
-----------------------------------------------------
Fax | 217-431-8827
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3166 N. VERMILION STREET
-----------------------------------------------------
City | DANVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61832-1166
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 217-431-8825
-----------------------------------------------------
Fax | 217-431-8827
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. GAIL A. MILLS
-----------------------------------------------------
Credential | L.C.S.W.
-----------------------------------------------------
Telephone | 217-431-8825
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 149.006935
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------