Organization
HOPEBRIDGE LLC
Active
Parent organization
HOPEBRIDGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEBRIDGE LLC
Authorized official
STEPHEN LOUIS DICARLO (CREDENTIALING TEAM LEAD)
(855) 324-0885
Entity
Organization
Contact information
Practice address
6909 OLD HIGHWAY 441 S STE 119, MOUNT DORA, FL 32757-7039
(352) 358-5001
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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