Organization
HOPE PERFORMANCE SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL BAKER (COO)
(843) 547-0200
Entity
Organization
Contact information
Practice address
460 WILLIAM HILTON PKWY STE B, HILTON HEAD ISLAND, SC 29926-2497
(843) 547-0200
Mailing address
20 TOWNE DR STE 102, BLUFFTON, SC 29910-4204
(843) 547-0200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
1041C0700X
Clinical Social Worker
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8404
—
SC
Enumeration date
04/30/2018
Last updated
08/31/2018
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