Provider Demographics
NPI:1154049146
Name:HOPE N WELLNESS LLC
Entity type:Organization
Organization Name:HOPE N WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:WALTS-DONAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:360-540-5104
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-0121
Mailing Address - Country:US
Mailing Address - Phone:360-540-5104
Mailing Address - Fax:
Practice Address - Street 1:3021 RUCKER AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3931
Practice Address - Country:US
Practice Address - Phone:360-540-5104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty