Provider Demographics
NPI:1912445206
Name:HOPE AND HEALING SUPPORT SERVICES
Entity type:Organization
Organization Name:HOPE AND HEALING SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-914-3590
Mailing Address - Street 1:3349 RIDGELAKE DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3851
Mailing Address - Country:US
Mailing Address - Phone:504-914-3590
Mailing Address - Fax:504-866-0791
Practice Address - Street 1:3349 RIDGELAKE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3851
Practice Address - Country:US
Practice Address - Phone:504-914-3590
Practice Address - Fax:504-866-0791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5050251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health