Provider Demographics
NPI:1104654755
Name:HOPE AND HEALING THERAPY PLLC
Entity type:Organization
Organization Name:HOPE AND HEALING THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:VOORHEES
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:806-341-9141
Mailing Address - Street 1:3309 FOREST CREEK DR UNIT 103A
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6168
Mailing Address - Country:US
Mailing Address - Phone:806-341-9141
Mailing Address - Fax:
Practice Address - Street 1:3309 FOREST CREEK DR UNIT 103A
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6168
Practice Address - Country:US
Practice Address - Phone:806-341-9141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty