Hopebridge LLC
Psychiatry & Neurology, Child & Adolescent Psychiatry in Pinellas Park, FL. Organization (NPI-2).
NPI number1467114702
StatusActive
Last updated in NPPESOct 13, 2021
Details
- NPI
- 1467114702
- Entity type
- Organization (NPI-2)
- Legal business name
- Hopebridge LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 13, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Oct 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – |
Practice location
3491 Gandy Blvd N Ste 100Pinellas Park, FL 33781-2652
Phone 727-390-2211 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
Authorized official
Angie Graff
Contracting & Credentialing Manager
3173768336
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