Basic Information
| Provider Information | |||||||||
| NPI: | 1700424157 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOPE4HEARTS COUNSELING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3026 BARDSTOWN RD | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402053020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5029150012 | ||||||||
| FaxNumber: | 5023316062 | ||||||||
| Practice Location | |||||||||
| Address1: | 3026 BARDSTOWN RD | ||||||||
| Address2: | |||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402053020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5029150012 | ||||||||
| FaxNumber: | 5023316062 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/17/2019 | ||||||||
| LastUpdateDate: | 06/18/2021 | ||||||||
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| AuthorizedOfficialLastName: | BREWER | ||||||||
| AuthorizedOfficialFirstName: | RAMONA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5029150012 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
| NPICertificationDate: | 06/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.