MEDICARE: HOLD MY HOPE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	261QM0855X	Adolescent and Children Mental Health Clinic/Center
5	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1750060620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLD MY HOPE PLLC

Provider Business Mailing Address
First Line	:	11311 ATWELL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77035-2615
Country	:	US
Telephone Number	:	806-584-7916
Fax Number	:

Provider Business Practice Location Address
First Line	:	4306 YOAKUM BLVD STE 510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-5884
Country	:	US
Telephone Number	:	346-202-5113
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIET-DANIELLE LANE
Credential	:
Telephone Number	:	806-584-7916

Provider Enumeration Date	:	07/17/2023
Last Update Date	:	02/12/2024

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Directions to “HOLD MY HOPE PLLC ” Practice Location

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