Provider Demographics
NPI:1427714369
Name:HOPE PROJECT OF CENTRAL TEXAS PLLC
Entity type:Organization
Organization Name:HOPE PROJECT OF CENTRAL TEXAS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ULYSSES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:151-258-9902
Mailing Address - Street 1:1510 WATER SPANIEL WAY
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3418
Mailing Address - Country:US
Mailing Address - Phone:512-589-9021
Mailing Address - Fax:
Practice Address - Street 1:1104 S MAYS ST STE 112
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6700
Practice Address - Country:US
Practice Address - Phone:512-589-9021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty