MEDICARE: HOPE TREE 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1720630346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE TREE COUNSELING LLC

Provider Business Mailing Address
First Line	:	6730 APRICOT LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4728
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6730 APRICOT LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4728
Country	:	US
Telephone Number	:	719-393-2777
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	CRISTYN RUTH SMITH
Credential	:	MA, NCC, LPC
Telephone Number	:	719-393-2777

Provider Enumeration Date	:	07/13/2019
Last Update Date	:	07/06/2022

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