Hopebridge LLC

NPI #1477205573 in Conway, Arkansas

Provider Information

NPI Number: 1477205573
Entity Type: Organization
Organization Name: Hopebridge LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HOPEBRIDGE LLC
Primary Specialty: Psychiatry & Neurology - Child & Adolescent Psychiatry
Enumeration Date: Jan 20, 2022
Last Updated: Jan 20, 2022

Practice Location

Address: 815 S DONAGHEY AVE
City: Conway
State: Arkansas
ZIP Code: 72034-6880
Phone: (855) 324-0885

Authorized Official

Name: ANGIE GRAFF
Title: CONTRACTING & CREDENTIALING MANAGER
Phone: (317) 376-8336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X	Primary

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