Provider Demographics
NPI:1841978913
Name:K. HOPE MENTAL HEALTH COUNSELING SERVICES P.L.L.C.
Entity type:Organization
Organization Name:K. HOPE MENTAL HEALTH COUNSELING SERVICES P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:607-203-1593
Mailing Address - Street 1:1355 US ROUTE 11
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:13795-1640
Mailing Address - Country:US
Mailing Address - Phone:607-203-1593
Mailing Address - Fax:
Practice Address - Street 1:1355 US ROUTE 11
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:NY
Practice Address - Zip Code:13795-1640
Practice Address - Country:US
Practice Address - Phone:607-203-1593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty