Organization
HOPE REVISITED COUNSELING SERVICES PLLC
Active
Organization
HOPE REVISITED COUNSELING SERVICES PLLC
Active
Other names
Hope Revisited Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA RENEE MILES LICSW (OWNER)
(509) 821-1035
Entity
Organization
Contact information
Practice address
500 W ROBERT BUSH DR STE 3, SOUTH BEND, WA 98586-9075
(360) 209-3240
Mailing address
PO BOX 532, SOUTH BEND, WA 98586-0532
(509) 821-1035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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