LIFE HOPE COUNSELING CENTER LLC


Address: 14540 John Marshall Hwy, Gainesville, VA 20155-1691
Phone: 7035705708

LIFE HOPE COUNSELING CENTER LLC (NPI# 1982105573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982105573
Entity Type Organization
Organization Name LIFE HOPE COUNSELING CENTER LLC
Practice Address 14540 John Marshall Hwy
Gainesville
VA 20155-1691
Mailing Address 7371 Atlas Walk Way # 167
Gainesville
VA 20155-2992
Practice Telephone 7035705708
Mailing Telephone 7035705708
Enumeration Date 2018-02-28
Last Update Date 2018-02-28
Authorized Official Name TISA MCKENNA (OWNER/THERAPIST)
Authorized Official Telephone 7035705708
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 0904009000 VA Agencies

Office Location

Street Address 14540 JOHN MARSHALL HWY
City GAINESVILLE
State VA
Zip Code 20155-1691

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841301777 Dan J Thompson Counselor 14540 John Marshall Hwy, Suite 102, Gainesville, VA 20155-1691 2006-08-31
1801349915 Bristow Run Family Medicine Clinic/Center 14540 John Marshall Hwy, #104, Gainesville, VA 20155-1691 2016-07-26
1023474038 Sunny Day Senior Services, LLC In Home Supportive Care 14540 John Marshall Hwy, Suite 100, Gainesville, VA 20155-1691 2016-01-06
1649693821 Ceres Artico Psychologist 14540 John Marshall Hwy, Suite 102, Gainesville, VA 20155-1691 2014-01-24
1295169605 Nmg Affiliate Practice I, LLC Family Medicine 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155-1691 2013-08-22
1083826630 Amirali C. Moosavi Radiology 14540 John Marshall Hwy, Gainesville, VA 20155-1691 2007-05-04
1063569358 Core Physical Therapy LLC Physical Therapist 14540 John Marshall Hwy, Gainesville, VA 20155-1691 2007-01-05
1629164645 Dena Menzel Nurse Practitioner 14540 John Marshall Hwy, Gainesville, VA 20155-1691 2006-10-05
1114018249 Bristow Run Family Practice, PC Family Medicine 14540 John Marshall Hwy, Suite 104, Gainesville, VA 20155-1691 2006-09-27

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1982118618 Renew Counseling and Services Social Worker 14540 John Marshall Highway, Gainesville, VA 20155 2017-11-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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1578122578 Georgia Dept of Human Resouces Field Fiscal Services - Region II Community/Behavioral Health 447 Ee Butler Pkwy, Gainesville, GA 30501-4524 2019-06-12
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Competitor

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City GAINESVILLE
Zip Code 20155

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Dataset Information

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.

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