Provider Demographics
NPI:1609617216
Name:HOPE-LA CENTER FOR THERAPY, WELLNESS, AND TRAINING, LLC
Entity type:Organization
Organization Name:HOPE-LA CENTER FOR THERAPY, WELLNESS, AND TRAINING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LISW-CP
Authorized Official - Phone:803-881-4673
Mailing Address - Street 1:4464 DEVINE ST STE M
Mailing Address - Street 2:#1308
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205
Mailing Address - Country:US
Mailing Address - Phone:803-881-4673
Mailing Address - Fax:
Practice Address - Street 1:2404 CARDINGTON DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-3212
Practice Address - Country:US
Practice Address - Phone:803-477-7762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty