Provider Demographics
NPI:1548307242
Name:SENIOR HOPE COUNSELING INC.
Entity type:Organization
Organization Name:SENIOR HOPE COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MACFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-489-7777
Mailing Address - Street 1:301 S ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-2070
Mailing Address - Country:US
Mailing Address - Phone:518-489-7777
Mailing Address - Fax:518-489-7771
Practice Address - Street 1:301 S ALLEN ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-2070
Practice Address - Country:US
Practice Address - Phone:518-489-7777
Practice Address - Fax:518-489-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261Q00000X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02254891Medicaid
NYBA1192Medicare PIN