| Hope Counseling Center Llc | |
|
421 1st Ave Sw Suite 300w Rochester MN 55902-3389 | |
| (507) 250-6234 | |
| (507) 322-6262 |
| Full Name | Hope Counseling Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 421 1st Ave Sw, Rochester, Minnesota |
| Authorized Official Name and Position | Christine Louise Hayden (OFFICE MANAGER) |
| Authorized Official Contact | 7155304495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Counseling Center Llc 5439 Abbey Ln Se Rochester MN 55904-8114 Ph: (507) 250-6234 | Hope Counseling Center Llc 421 1st Ave Sw Suite 300w Rochester MN 55902-3389 Ph: (507) 250-6234 |
| NPI Number | 1093268906 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 12/22/2016 |
| Medicare PECOS PAC ID | 6608226808 |
|---|---|
| Medicare Enrollment ID | O20240101000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093268906 | NPI | - | NPPES |
| 13511949 | Other | MN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CC00933 (Minnesota) | Primary |
| Provider Name | Betty L Lacine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386037877 PECOS PAC ID: 7416307616 Enrollment ID: I20240101000162 |
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