Provider Demographics
NPI:1487198073
Name:HOPEWELL COUNSELING
Entity type:Organization
Organization Name:HOPEWELL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CRON
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-333-1548
Mailing Address - Street 1:4500 HOLLAND OFFICE PARK
Mailing Address - Street 2:SUITE 320
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1146
Mailing Address - Country:US
Mailing Address - Phone:757-298-7471
Mailing Address - Fax:757-644-6399
Practice Address - Street 1:4500 HOLLAND OFFICE PARK
Practice Address - Street 2:SUITE 320
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1146
Practice Address - Country:US
Practice Address - Phone:757-298-7471
Practice Address - Fax:757-644-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0500012101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty