Provider Demographics
NPI:1972122497
Name:HOPE & HEALING SOLUTIONS
Entity type:Organization
Organization Name:HOPE & HEALING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, MHP
Authorized Official - Phone:360-827-0823
Mailing Address - Street 1:PO BOX 1184
Mailing Address - Street 2:
Mailing Address - City:NAPAVINE
Mailing Address - State:WA
Mailing Address - Zip Code:98565-1184
Mailing Address - Country:US
Mailing Address - Phone:360-827-0823
Mailing Address - Fax:
Practice Address - Street 1:2401 NE KRESKY AVE STE B
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-2435
Practice Address - Country:US
Practice Address - Phone:360-827-0823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health