MEDICARE: HOPEWELL COUNSELING, 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	106H00000X	Marriage & Family Therapist
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578365672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPEWELL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	7016 NW 160TH ST
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-5844
Country	:	US
Telephone Number	:	816-260-2017
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 N BROADWAY STE 100
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-3642
Country	:	US
Telephone Number	:	903-420-0434
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MR. BRUCE NUFFER
Credential	:
Telephone Number	:	816-260-2017

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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