Provider Demographics
NPI:1306371034
Name:HOPE SPRINGS COUNSELING
Entity type:Organization
Organization Name:HOPE SPRINGS COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BIZON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-754-3354
Mailing Address - Street 1:104 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-1677
Mailing Address - Country:US
Mailing Address - Phone:503-754-3354
Mailing Address - Fax:
Practice Address - Street 1:104 N 1ST ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1677
Practice Address - Country:US
Practice Address - Phone:503-754-3354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4301305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR330243OtherNATIONAL BOARD FOR CERTIFIED COUNSELORS
ORC4301OtherOREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS