VALLEY OF HOPE (NPI# 1962861203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962861203 |
| Entity Type | Organization |
| Organization Name | VALLEY OF HOPE |
| Practice Address |
4609 N Market St Shreveport LA 71107-2900 |
| Practice Telephone | 3186265462 |
| Practice Fax Number | 3186265562 |
| Mailing Telephone | 3186265462 |
| Mailing Fax Number | 3186265562 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | MRS. RAVEN NICOLE BERRY (MHP) |
| Authorized Official Telephone | 3185728383 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VALLEY OF HOPE HOLISTIC MEDICAL CENTER | 2100 45th St Ste B23, West Palm Beach, FL 33407-2070 |
| System for Award Management (SAM) Entities | VALLEY OF HOPE INC | 287 Se Sumpter Ct, Lees Summit, MO 64063-3669 |
| Oregon Corporations, Companies and Business Names | VALLEY OF HOPE LLC | 112 W 12th St, The Dalles, OR 97058 |
| Colorado Business Entities | Valley of Hope, LLC | 1417 Sierra Vista, Aspen, CO 81611 |
| Street Address |
4609 N MARKET ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386194165 | Tedie Nelson | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107-2900 | 2016-10-05 |
| 1144775636 | Brenda Pack | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107 | 2016-08-24 |
| 1073067955 | Demetris Henderson | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107-2900 | 2016-08-09 |
| 1457804890 | Anthony Thomas | Counselor | 4609 N Market St, Ste A, Shreveport, LA 71107 | 2016-08-02 |
| 1265985394 | Lonnia Sanders | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107-2900 | 2016-07-25 |
| 1760833057 | Lakisha Willis | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107-2900 | 2016-06-28 |
| 1699126284 | Cynthia Smith | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107 | 2016-06-25 |
| 1063862118 | Jaylon Berry | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107-2900 | 2016-06-20 |
| 1619327350 | Dominique Flournoy | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107-2900 | 2016-06-14 |
| 1831549591 | Evelyn Hunt | Counselor | 4609 N Market St, Ste. A, Shreveport, LA 71107 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558926113 | Renew Therapeutic Services, LLC | Community/Behavioral Health | 2924 Knight St Ste 424, Shreveport, LA 71105-2413 | 2019-05-08 |
| 1053818641 | Agape Love Counseling Service LLC | Community/Behavioral Health | 1513 Line Ave Ste 240, Shreveport, LA 71101-4621 | 2018-04-10 |
| 1851891865 | Magnolia Mental Health LLC | Community/Behavioral Health | 7629 Pines Rd, Shreveport, LA 71129-3905 | 2018-02-15 |
| 1891202776 | Allcare of Louisiana, Inc. | Community/Behavioral Health | 4615 Monkhouse Dr Ste 116, Shreveport, LA 71109-6123 | 2018-01-02 |
| 1467979708 | Finding A Better Me | Community/Behavioral Health | 2924 Knight St Ste 420, Shreveport, LA 71105-2413 | 2017-08-28 |
| 1518495779 | Bridges To Recovery, LLC | Community/Behavioral Health | 7607 Fern Ave Ste 902-903, Shreveport, LA 71105-5739 | 2017-05-31 |
| 1790210805 | Acenter for Hope and Change | Community/Behavioral Health | 6811 Sagewood Dr, Shreveport, LA 71129-9423 | 2017-04-26 |
| 1497289979 | Serenity Behavioral Health Service LLC | Community/Behavioral Health | 2000 Creswell Ave, Shreveport, LA 71104-2202 | 2017-04-12 |
| 1699212696 | Shenells | Community/Behavioral Health | 2120 N Hearne Ave Apt 403, Shreveport, LA 71107-7183 | 2017-01-27 |
| 1669918199 | Street Outreach Solutions,llc | Community/Behavioral Health | 2715 Mackey Pl Ste 119, Shreveport, LA 71118-2527 | 2017-01-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on VALLEY OF HOPE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.