MEDICARE: THE HOPE CONNECTION THERAPY COMPANY

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

General Provider Information

NPI Number	:	1902746233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOPE CONNECTION THERAPY COMPANY

Provider Business Mailing Address
First Line	:	10502 WINTERS RUN
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-5130
Country	:	US
Telephone Number	:	850-739-2812
Fax Number	:	850-761-9565

Provider Business Practice Location Address
First Line	:	219 DELTA CT UNIT B
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-4875
Country	:	US
Telephone Number	:	434-430-0989
Fax Number	:	850-761-9565

Authorized Official
Title or Position	:	OWNER, LICENSED MENTAL HEALTH COUNS
Name	:	MRS. CHARITY BOMAR CANNAVO
Credential	:	MA, LMHC
Telephone Number	:	850-739-2812

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “THE HOPE CONNECTION THERAPY COMPANY ” Practice Location

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