Provider Demographics
NPI:1154608073
Name:HOPE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:HOPE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:J PHILLIPS
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, LMFT,LCPC
Authorized Official - Phone:253-267-1760
Mailing Address - Street 1:10324 CANYON RD E
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-1013
Mailing Address - Country:US
Mailing Address - Phone:253-267-1760
Mailing Address - Fax:253-503-1628
Practice Address - Street 1:10324 CANYON RD E
Practice Address - Street 2:SUITE 208
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-1013
Practice Address - Country:US
Practice Address - Phone:253-267-1760
Practice Address - Fax:253-503-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-06
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health