MEDICARE: HOPE 4 THE FUTURE COUNSELING SERVICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	G082239439

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255787123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE 4 THE FUTURE COUNSELING SERVICE, LLC

Provider Business Mailing Address
First Line	:	9104 S WALKER AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-8508
Country	:	US
Telephone Number	:	405-702-9030
Fax Number	:

Provider Business Practice Location Address
First Line	:	9104 S WALKER AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-8508
Country	:	US
Telephone Number	:	405-702-9030
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GAIL J ROBINSON
Credential	:
Telephone Number	:	405-702-9030

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	05/10/2016

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