Organization
HOPE HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRIVIA GUINN PMHNP, APRN (OWNER)
(517) 240-2998
Entity
Organization
Contact information
Practice address
1608 S MARTIN LUTHER KING JR DR STE B, JACKSON, MI 49203-4244
(517) 923-2955
Mailing address
1608 S MARTIN LUTHER KING JR DR STE B, JACKSON, MI 49203-4244
(517) 923-2955
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8239005
—
MI
Enumeration date
08/03/2020
Last updated
03/18/2022
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