Provider Demographics
NPI:1689498230
Name:HOPE RESTORED FAMILY THERAPY
Entity type:Organization
Organization Name:HOPE RESTORED FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:IMFT-S
Authorized Official - Phone:614-949-1093
Mailing Address - Street 1:6855 SPARROW LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4260
Mailing Address - Country:US
Mailing Address - Phone:614-949-1093
Mailing Address - Fax:
Practice Address - Street 1:6855 SPARROW LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4260
Practice Address - Country:US
Practice Address - Phone:614-949-1093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty