Hope's Halo Therapy Collective, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOPE'S HALO THERAPY COLLECTIVE, PLLC

Practice address

1010 W Villas Dr
Vicksburg, MI 49097-9626

Phone

(269) 760-1011

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By 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

Miss Azmen Hope Williams, LMSWNPI 1144581174

Title

Owner/Therapist

Phone

(269) 760-1011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azmen Hope Williams, MSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1144581174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1548988207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FOREST ST # 532",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012747",
            "telephone_number": "269-760-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W VILLAS DR",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490979626",
            "telephone_number": "269-760-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE'S HALO THERAPY COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AZMEN",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "269-760-1011",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoard Chiropractic Inc.
• Hoard Chiropractic LLC
• Kevin Hoard, DC
• Stephanie Lynn Hoard, D.C., B.S.
• Stephen Mark Hoard, D.C.
• Thomas A Howard, D.O.
• Jemellee Perpetua Jacala-Tadian, M.D.
• Kate Lynn-Kuschel Johnson, MA, LPC
• Journey Toward Hope Counseling
• Ian Christopher Kelley

• Clinical Social Worker in Vicksburg, MI
• Providers in Vicksburg, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.