Provider Demographics
NPI:1487260394
Name:HOPE HARBOR AND WELLNESS LLC
Entity type:Organization
Organization Name:HOPE HARBOR AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-873-0818
Mailing Address - Street 1:3590 TOWNE POINT RD UNIT 6734
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-1328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3590 TOWNE POINT RD UNIT 6734
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-1328
Practice Address - Country:US
Practice Address - Phone:757-654-2232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty