=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982495313
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REMEDY HOPE COUNSELING INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2025
-----------------------------------------------------
Last Update Date | 05/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | N76W14321 LARI LOU DR
-----------------------------------------------------
City | MENOMONEE FALLS
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53051-4312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 262-328-2791
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 148
-----------------------------------------------------
City | BUTLER
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53007-0148
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | PAHOUA XIONG
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 262-328-2791
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------