Organization
HOPEFUL ORIGINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA M SWANSON (OWNER/PROVIDER)
(410) 420-8300
Entity
Organization
Contact information
Practice address
31 BALTIMORE ST STE 111, CUMBERLAND, MD 21502-3091
(410) 420-8300
(443) 267-0020
Mailing address
PO BOX 11, ABINGDON, MD 21009-0011
(410) 420-8300
(443) 267-0020
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003978220
—
MD
Enumeration date
09/14/2021
Last updated
01/21/2025
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