Organization Name: | INTERHOPE CHRISTIAN COUNSELING PLLC |
NPI Number: | 1376778522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA VANHORN (OWNER) |
Mailing Address: | 1454 Diederich Blvd Russell |
State: | KY US |
Postal Code: | 411691719 |
Phone Number: | 6065474536 |
Fax Number: | 8665115587 |
NPI Enumeration Date: | 05/18/2009 |
NPI Last Update Date: | 03/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |