# AXIS HOPE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194226068
- **Authorized official:** LATRICE LEE (BILLER)
- **Authorized official phone:** (404) 947-1081

## Contact information

- **Practice address:** 2551 ROSWELL RD STE 420, MARIETTA, GA 30062-4761
- **Practice address phone:** (678) 648-7888
- **Mailing address:** 2551 ROSWELL RD STE 420, MARIETTA, GA 30062-4761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 20130228 | MD | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 20171710 | MD | Yes |

## Other

- **Enumeration date:** 02/26/2018
- **Last updated:** 02/26/2018