Organization
PROSPERING HOPE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA INGRAM LPC, NCC (PRESIDENT)
(870) 300-2112
Entity
Organization
Contact information
Practice address
31 SCHOOL DR STE B, MELBOURNE, AR 72556-8620
(870) 300-2112
(844) 377-1447
Mailing address
PO BOX 245, MELBOURNE, AR 72556-0245
(870) 300-2112
(844) 377-1447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227890719
—
AR
Enumeration date
01/18/2021
Last updated
05/27/2021
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