Provider Demographics
NPI:1144992223
Name:THERAPEUTIC HOPE COUNSELING LLC
Entity type:Organization
Organization Name:THERAPEUTIC HOPE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULES
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:904-606-5611
Mailing Address - Street 1:2105 PARK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5557
Mailing Address - Country:US
Mailing Address - Phone:904-606-5611
Mailing Address - Fax:904-621-9247
Practice Address - Street 1:2105 PARK AVE STE 2
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5557
Practice Address - Country:US
Practice Address - Phone:904-606-5611
Practice Address - Fax:904-621-9247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1578072112OtherTYPE 1 NPI