Provider Demographics
NPI:1750949483
Name:HOPEWELL LLC
Entity type:Organization
Organization Name:HOPEWELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VERLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, MAC
Authorized Official - Phone:256-585-8785
Mailing Address - Street 1:103 IVYRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-8731
Mailing Address - Country:US
Mailing Address - Phone:256-585-8785
Mailing Address - Fax:
Practice Address - Street 1:1230 SLAUGHTER RD STE E
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-5901
Practice Address - Country:US
Practice Address - Phone:256-444-3261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA151147OtherNATIONAL ASSOCIATION ALCOHOL AND DRUG ABUSE COUNSELORS
NC330434OtherNATIONAL BOARD OF CERTIFIED COUNSELORS
DC13827070OtherCOUNCIL FOR AFFORDABLE QUALITY HEALTHCARE
AL3542OtherALABAMA BOARD OF EXAMINERS IN COUNSELING
AL1528468881Medicaid