Provider Demographics
NPI:1275352239
Name:CULTIVATING HOPE THERAPY, LLC
Entity type:Organization
Organization Name:CULTIVATING HOPE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XINLI
Authorized Official - Middle Name:
Authorized Official - Last Name:FAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:816-679-1530
Mailing Address - Street 1:1501 DRURY CIR
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-9579
Mailing Address - Country:US
Mailing Address - Phone:816-679-1530
Mailing Address - Fax:
Practice Address - Street 1:1501 DRURY CIR
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-9579
Practice Address - Country:US
Practice Address - Phone:913-228-1081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty