MEDICARE: HEALING HOPE 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	101YM0800X	Mental Health Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

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	:	1720833908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HOPE COUNSELING LLC

Provider Business Mailing Address
First Line	:	125 E JACKSON ST
Second Line	:
City	:	SMITHLAND
State	:	IA
Zip	:	51056-8637
Country	:	US
Telephone Number	:	712-212-4963
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 5TH ST STE 323
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51101-1508
Country	:	US
Telephone Number	:	712-314-5660
Fax Number	:	712-248-8682

Authorized Official
Title or Position	:	OWNER
Name	:	JANENE M. GORSETT
Credential	:	LMHC
Telephone Number	:	712-212-4963

Provider Enumeration Date	:	04/20/2024
Last Update Date	:	06/05/2024

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Directions to “HEALING HOPE COUNSELING LLC ” Practice Location

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