| Hope & Healing Therapy Services Llc | |
|
1611 W Centre Ave Ste 211 Portage MI 49024-5344 | |
| (269) 203-5933 | |
| Not Available |
| Full Name | Hope & Healing Therapy Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1611 W Centre Ave Ste 211, Portage, Michigan |
| Authorized Official Name and Position | Julie Mckinstry Waldron (THERAPIST/OWNER) |
| Authorized Official Contact | 2692035933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope & Healing Therapy Services Llc 1611 W Centre Ave Ste 211 Portage MI 49024-5344 Ph: (269) 203-5933 | Hope & Healing Therapy Services Llc 1611 W Centre Ave Ste 211 Portage MI 49024-5344 Ph: (269) 203-5933 |
| NPI Number | 1144960113 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 07/10/2026 |
| Certification Date | 07/10/2026 |
| Medicare PECOS PAC ID | 8729435565 |
|---|---|
| Medicare Enrollment ID | O20231115002888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144960113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| Provider Name | Julie Waldron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841672813 PECOS PAC ID: 0547617383 Enrollment ID: I20240523002023 |
| Provider Name | Lynnette Matar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952478067 PECOS PAC ID: 1254872294 Enrollment ID: I20240918002118 |
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