Provider Demographics
NPI:1881450286
Name:HOPE HARBOR THERAPY LLC
Entity type:Organization
Organization Name:HOPE HARBOR THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:SCHACHTNER
Authorized Official - Last Name:HUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT
Authorized Official - Phone:785-347-5036
Mailing Address - Street 1:104 S 4TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6957
Mailing Address - Country:US
Mailing Address - Phone:785-347-5036
Mailing Address - Fax:785-414-5458
Practice Address - Street 1:104 S 4TH ST STE 206
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6957
Practice Address - Country:US
Practice Address - Phone:785-347-5036
Practice Address - Fax:785-414-5458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1245750272OtherNPI 1
KS03031OtherKANSAS BSRB