MEDICARE: COUNSELING THROUGH HOPE, 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

General Provider Information

NPI Number	:	1740805241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNSELING THROUGH HOPE, LLC

Provider Business Mailing Address
First Line	:	333 17TH ST STE T
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5687
Country	:	US
Telephone Number	:	772-228-1165
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 17TH ST STE T
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5687
Country	:	US
Telephone Number	:	772-228-1165
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CATHLEEN MARIE OLSON
Credential	:	LMFT
Telephone Number	:	772-228-1165

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	08/02/2021

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