Organization
HOPE COUNSELING AND BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA MERCEDES VELEZ MSW LCSW BCD (FOUNDER)
(570) 402-1006
Entity
Organization
Contact information
Practice address
1023 INTERCHANGE RD, GILBERT, PA 18331-0279
(570) 402-1006
(610) 681-8275
Mailing address
PO BOX 279, GILBERT, PA 18331-0279
(570) 402-1006
(610) 681-8275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW013229
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083979
MEDICARE PTAN
PA
05
—
1011203100003
—
PA
Enumeration date
09/02/2014
Last updated
10/13/2015
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