# HOPEBRIDGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOPEBRIDGE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073093878
- **Legal business name:** HOPEBRIDGE, LLC
- **Authorized official:** ANGIE GRAFF (INSURANCE & CREDENTIALING MANAGER)
- **Authorized official phone:** (317) 376-8336

## Contact information

- **Practice address:** 18151 JEFFERSON PARK RD, CLEVELAND, OH 44130-3496
- **Practice address phone:** (855) 324-0885
- **Practice address fax:** (765) 450-6664
- **Mailing address:** 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 09/14/2018