LIVING HOPE COUNSELING CENTER, PC


Address: 535 Maine St, Suite 13, Quincy, IL 62301-3950
Phone: 2172281887

LIVING HOPE COUNSELING CENTER, PC (NPI# 1013044478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013044478
Entity Type Organization
Organization Name LIVING HOPE COUNSELING CENTER, PC
Practice Address 535 Maine St
Suite 13
Quincy
IL 62301-3950
Practice Telephone 2172281887
Practice Fax Number 2172281884
Mailing Telephone 2172281887
Mailing Fax Number 2172281884
Enumeration Date 2007-02-27
Last Update Date 2008-08-11
Authorized Official Name DR. CARA RAE BAINUM (PRESIDENT & OWNER)
Authorized Official Telephone 2172281887
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 2006016141 MO Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
071-006947 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
INDIVIDUAL NPI # 1427042076 01
MO 491638904 05

Office Location

Street Address 535 MAINE ST
SUITE 13
City QUINCY
State IL
Zip Code 62301-3950

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1497244982 John Nicholas Petrou Psychologist 1 Dennis Ryan Pkwy, Quincy, MA 02169-5348 2018-05-09
1427226216 Angela Marie Johnson Psychologist 1354 Hancock St Ste 315, Quincy, MA 02169-5109 2008-02-14
1396872784 Patricia C. Packard Psychologist 1373 Quincy Shore Dr, Quincy, MA 02169-2336 2007-02-27
1972679710 Paul Kimberley Ling Psychologist 59 Coddington St Ste 201, Quincy, MA 02169-4510 2006-11-24
1386734572 John J Leahy Psychologist Nova Psychiatric Services Inc, 1261 Furnace Brook Parkway, Quincy, MA 02169 2006-10-16
1275627515 Beverly Singer Psychologist One Adams Place, 859 Willard St, Suite 430, Quincy, MA 02464 2006-10-03
1013017300 Paul Giella Psychologist 110 West Squantum St, Suite #21, Quincy, MA 02171 2006-09-25
1598870172 Diana C. Direiter Psychologist 36 Weston Ave, Quincy, MA 02170-1833 2006-08-21
1487626123 Pauline M. Pagliocca Psychologist 1266 Furnace Brook Pkwy, Suite 210, Quincy, MA 02169-4758 2006-02-06
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Competitor

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City QUINCY
Zip Code 62301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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