Provider Demographics
NPI:1548661697
Name:INSTILLING HOPE TODAY
Entity type:Organization
Organization Name:INSTILLING HOPE TODAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:MCCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:MED LPC
Authorized Official - Phone:361-945-3166
Mailing Address - Street 1:4334 OCEAN DRIVE
Mailing Address - Street 2:307
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2551
Mailing Address - Country:US
Mailing Address - Phone:361-945-3166
Mailing Address - Fax:361-500-4503
Practice Address - Street 1:745 EVERHART RD
Practice Address - Street 2:STE B
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1942
Practice Address - Country:US
Practice Address - Phone:361-945-3166
Practice Address - Fax:361-500-4503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72738101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty