Organization Name: | HOLDING HOPE SERVICES |
NPI Number: | 1508111998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE FANNING (OWNER/THERAPIST) |
Mailing Address: | 600 Spring Hill Ring Rd Suite 113a West Dundee |
State: | IL US |
Postal Code: | 601187300 |
Phone Number: | 8472201442 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2012 |
NPI Last Update Date: | 07/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |