Provider Demographics
NPI:1053937029
Name:ENCOMPASS HOPE, LLC
Entity type:Organization
Organization Name:ENCOMPASS HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:WOHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LSW
Authorized Official - Phone:651-412-5088
Mailing Address - Street 1:3460 WASHINGTON DR STE 214
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-4304
Mailing Address - Country:US
Mailing Address - Phone:651-412-5088
Mailing Address - Fax:
Practice Address - Street 1:3460 WASHINGTON DR STE 214
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-4304
Practice Address - Country:US
Practice Address - Phone:651-412-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty