Organization
HOPEBRIDGE LLC
Active
Parent organization
HOPEBRIDGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEBRIDGE LLC
Authorized official
ANGIE GRAFF (CONTRACTING & CREDENTIALING MANAGER)
(317) 376-8336
Entity
Organization
Contact information
Practice address
2700 XRAY DRIVE, SUITE 120, GASTONIA, NC 28054-7490
(855) 324-0885
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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