Organization
HOPEBRIDGE, LLC
Active
Parent organization
HOPEBRIDGE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEBRIDGE, LLC
Authorized official
ANGIE GRAFF (INSURANCE & CREDENTIALING MANAGER)
(317) 376-8336
Entity
Organization
Contact information
Practice address
773 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2821
(855) 324-0885
(765) 450-6664
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265874
—
OH
Enumeration date
01/30/2018
Last updated
05/09/2018
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