Provider Demographics
NPI:1538923420
Name:MY HOPEWELL CO. A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Entity type:Organization
Organization Name:MY HOPEWELL CO. A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:310-800-2789
Mailing Address - Street 1:1820 W ORANGEWOOD AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-5052
Mailing Address - Country:US
Mailing Address - Phone:310-800-2789
Mailing Address - Fax:
Practice Address - Street 1:1820 W ORANGEWOOD AVE STE 105
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-5052
Practice Address - Country:US
Practice Address - Phone:310-800-2789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty