Basic Information
| Provider Information | |||||||||
| NPI: | 1427680305 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOPE ARISING COUNSELING, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4940 SHEPHERDS CREEK DR APT 1 | ||||||||
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| City: | CONWAY | ||||||||
| State: | AR | ||||||||
| PostalCode: | 720349255 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5014284010 | ||||||||
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| Practice Location | |||||||||
| Address1: | 930 WINGATE ST STE E11 | ||||||||
| Address2: | |||||||||
| City: | CONWAY | ||||||||
| State: | AR | ||||||||
| PostalCode: | 720344837 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5014284010 | ||||||||
| FaxNumber: | 5012146866 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2020 | ||||||||
| LastUpdateDate: | 04/05/2022 | ||||||||
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| AuthorizedOfficialLastName: | JONES | ||||||||
| AuthorizedOfficialFirstName: | ADREA | ||||||||
| AuthorizedOfficialMiddleName: | JANETTE | ||||||||
| AuthorizedOfficialTitleorPosition: | LICENSED PROFESSIONAL COUNSELOR | ||||||||
| AuthorizedOfficialTelephone: | 5014284010 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LPC | ||||||||
| NPICertificationDate: | 04/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0855X | N | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | 261QM0850X | Y | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No ID Information.