Organization · NPI-2

Embrace Hope Counseling, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Appleton, WI

NPI number1932690302
StatusActive
Last updated in NPPESMay 22, 2018

Details

NPI
1932690302
Entity type
Organization (NPI-2)
Legal business name
Embrace Hope Counseling, LLC
Organization subpart
No
Enumeration date
May 22, 2018
Last updated
May 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

5497 W Waterford Ln Ste A
Appleton, WI 54913-8489

Phone 920-750-6132 · Fax 920-750-6121

Mailing address

5497 W Waterford Ln Ste A
Appleton, WI 54913-8489

Phone 920-750-6132 · Fax 920-750-6121

Authorized official

Angela Ayala
Owner/Counselor
9207506132

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