MEDICARE: DISCOVER HOPE CONSULTING

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	1041C0700X	Clinical Social Worker	I.1430013	OH

General Provider Information

NPI Number	:	1811355746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVER HOPE CONSULTING

Provider Business Mailing Address
First Line	:	2025 LAKEWOOD AVE
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-3143
Country	:	US
Telephone Number	:	419-202-2174
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 LAKEWOOD AVE
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-3143
Country	:	US
Telephone Number	:	419-202-2174
Fax Number	:

Authorized Official
Title or Position	:	LICENSED INDEPENDENT SOCIAL WORKER
Name	:	MRS. ALLISON RENEE JONES
Credential	:	LISW
Telephone Number	:	419-202-2174

Provider Enumeration Date	:	02/06/2016
Last Update Date	:	02/06/2016

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Directions to “DISCOVER HOPE CONSULTING ” Practice Location

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