Provider Demographics
NPI:1285400630
Name:HOPEOLOGY
Entity type:Organization
Organization Name:HOPEOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TERAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CPCS
Authorized Official - Phone:678-224-1617
Mailing Address - Street 1:3314 TIMBER LAKE RD NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-1940
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3314 TIMBER LAKE RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-1940
Practice Address - Country:US
Practice Address - Phone:678-224-1617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty