Provider Demographics
NPI:1730834987
Name:HOPE & HEALING PEER SUPPORT
Entity type:Organization
Organization Name:HOPE & HEALING PEER SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CREDENTIALING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIESHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:CBCS, CCS
Authorized Official - Phone:814-243-0414
Mailing Address - Street 1:6975 SW SANDBURG ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8089
Mailing Address - Country:US
Mailing Address - Phone:814-243-0414
Mailing Address - Fax:814-479-5906
Practice Address - Street 1:6975 SW SANDBURG ST STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-8089
Practice Address - Country:US
Practice Address - Phone:814-243-0414
Practice Address - Fax:814-479-5906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty