Provider Demographics
NPI:1366263626
Name:HOPE AND RESTORATION COUNSELING CENTER, LLC
Entity type:Organization
Organization Name:HOPE AND RESTORATION COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:719-888-5123
Mailing Address - Street 1:5555 ERINDALE DR STE 106
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6964
Mailing Address - Country:US
Mailing Address - Phone:719-888-5123
Mailing Address - Fax:877-523-9778
Practice Address - Street 1:5555 ERINDALE DR STE 106
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6964
Practice Address - Country:US
Practice Address - Phone:719-888-5123
Practice Address - Fax:877-523-9778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty