Provider Demographics
NPI:1295292753
Name:HOPE RISING
Entity type:Organization
Organization Name:HOPE RISING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLAI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT RPT
Authorized Official - Phone:612-406-4083
Mailing Address - Street 1:3458 SHERIDAN AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2246
Mailing Address - Country:US
Mailing Address - Phone:513-283-4236
Mailing Address - Fax:
Practice Address - Street 1:21307 JOHN MILLESS DR
Practice Address - Street 2:SUITE 106
Practice Address - City:ROGERS
Practice Address - State:MN
Practice Address - Zip Code:55374-4708
Practice Address - Country:US
Practice Address - Phone:612-406-4083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1295292753OtherNPI II