Provider Demographics
NPI:1497394670
Name:HOPE WITHIN HEALING COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:HOPE WITHIN HEALING COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-348-3713
Mailing Address - Street 1:800 ROCKMEAD DR STE 113
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5019
Mailing Address - Country:US
Mailing Address - Phone:832-348-3713
Mailing Address - Fax:844-411-8973
Practice Address - Street 1:800 ROCKMEAD DR STE 113
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5019
Practice Address - Country:US
Practice Address - Phone:832-348-3713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-05
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty