Hopebridge LLC

NPI #1568118370 in Mount Dora, Florida

Provider Information

NPI Number: 1568118370
Entity Type: Organization
Organization Name: Hopebridge LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HOPEBRIDGE LLC
Primary Specialty: Psychologist
Enumeration Date: Mar 2, 2022
Last Updated: Mar 2, 2022

Practice Location

Address: 6909 OLD HIGHWAY 441 S STE 119
City: Mount Dora
State: Florida
ZIP Code: 32757-7039
Phone: (352) 358-5001

Authorized Official

Name: STEPHEN LOUIS DICARLO
Title: CREDENTIALING TEAM LEAD
Phone: (855) 324-0885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist	103T00000X	Primary

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