HOPEBRIDGE LLC NPI 1174097752

NPI Information

NPI: 1174097752
Provider Name: HOPEBRIDGE, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
4931 RIVERSIDE DR STE A
MACON, GA
ZIP 31210
Phone: (855) 324-0885
Get Directions

HOPEBRIDGE, LLC is a child and adolescent psychiatry psychiatry neurology in Macon, GA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. HOPEBRIDGE, LLC NPI is 1174097752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4931 RIVERSIDE DR STE A
MACON, GA
ZIP 31210-156
Phone: (855) 324-0885
Fax: (317) 520-8200

The provider's authorized official is Angie Graff .
The authorized official title is Insurance & Credentialing Manager and has the following contact phone number (317) 376-8336.

The enumeration date for this NPI number is 1/16/2019 and was last updated on 1/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103T00000X	Psychologist		No
2	103TC0700X	Psychologist	Clinical	No
3	103TH0100X	Psychologist	Health Service	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	Yes
5	225100000X	Physical Therapist		No
6	2251P0200X	Physical Therapist	Pediatrics	No
7	225X00000X	Occupational Therapist		No
8	235Z00000X	Speech-Language Pathologist		No
9	103K00000X	Behavior Analyst		No
10	106E00000X	Assistant Behavior Analyst		No
11	106S00000X	Behavior Technician		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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