Provider Demographics
NPI:1568344315
Name:HOPE HAVEN COUNSELING LLC
Entity type:Organization
Organization Name:HOPE HAVEN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:DOMINGUES
Authorized Official - Last Name:PERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:CARN
Authorized Official - Phone:337-321-2677
Mailing Address - Street 1:1 GRANDLAKE DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5537
Mailing Address - Country:US
Mailing Address - Phone:337-321-2677
Mailing Address - Fax:
Practice Address - Street 1:306 OAK LANE DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4533
Practice Address - Country:US
Practice Address - Phone:337-321-2677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty