Interhope Christian Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1072 Issued in KY

Legal business name

INTERHOPE CHRISTIAN COUNSELING PLLC

Practice address

1454 Diederich Blvd
Russell, KY 41169-1719

Phone

(606) 547-4536

Fax

(866) 511-5587

NPI assigned

May 18, 2009

Last updated

Mar 22, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Vanhorn, LCSW

Title

Owner

Phone

(606) 547-4536

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1376778522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 DIEDERICH BLVD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691719",
            "telephone_number": "606-547-4536",
            "fax_number": "866-511-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 DIEDERICH BLVD",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691719",
            "telephone_number": "606-547-4536",
            "fax_number": "866-511-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERHOPE CHRISTIAN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "VANHORN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-547-4536",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Russell, KY
• Providers in Russell, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.