MEDICARE: HOPE FAITH & LOVE COUNSELING

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	101Y00000X	Counselor
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1619743994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE FAITH & LOVE COUNSELING

Provider Business Mailing Address
First Line	:	299 SEATON HTS
Second Line	:
City	:	REEDS SPRING
State	:	MO
Zip	:	65737-9338
Country	:	US
Telephone Number	:	417-230-5814
Fax Number	:

Provider Business Practice Location Address
First Line	:	8956 E STATE HIGHWAY 76
Second Line	:
City	:	REEDS SPRING
State	:	MO
Zip	:	65737-7812
Country	:	US
Telephone Number	:	417-230-5814
Fax Number	:	417-246-2069

Authorized Official
Title or Position	:	THERAPIST
Name	:	MELISSA HERN
Credential	:	LPC
Telephone Number	:	417-230-5814

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	11/28/2023

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