Organization
ONE HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADOOREE MICHELLE TULLAR (EXECUTIVE DIRECTOR)
(769) 241-5146
Entity
Organization
Contact information
Practice address
2 DOVE WAY CIR, CLINTON, MS 39056-3589
(601) 201-6862
Mailing address
1896 HWY. 471, BRANDON, MS 39047
(769) 241-5146
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06354818
—
MS
05
—
0898306
—
MS
Enumeration date
04/24/2017
Last updated
06/05/2022
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