Organization Name: | HAVEN OF HOPE COUNSELING ASSOCIATES, LLC |
NPI Number: | 1063838696 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANN SIMPSON-MCDOWELL (COUNSELOR) |
Mailing Address: | 1471 Route 9 Suite 201 Clifton Park |
State: | NY US |
Postal Code: | 120656500 |
Phone Number: | 5189825376 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2014 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001903-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |