Provider Demographics
NPI:1992559751
Name:PILLARS OF HOPE COUNSELING LLC
Entity type:Organization
Organization Name:PILLARS OF HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATELDRIN
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:573-673-8434
Mailing Address - Street 1:99 MICHIGAN AVE STE 335
Mailing Address - Street 2:
Mailing Address - City:FORT CAMPBELL
Mailing Address - State:KY
Mailing Address - Zip Code:42223-5614
Mailing Address - Country:US
Mailing Address - Phone:573-673-8434
Mailing Address - Fax:
Practice Address - Street 1:211 S 2ND ST STE 207
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-2201
Practice Address - Country:US
Practice Address - Phone:859-379-8195
Practice Address - Fax:931-208-0594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty