Organization
HOPE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BETH MANGAN LCSW (OWNER/PRESIDENT)
(859) 869-2023
Entity
Organization
Contact information
Practice address
541 BUTTERMILK PIKE STE 200, CRESCENT SPRINGS, KY 41017-1696
(859) 869-2023
(561) 401-9196
Mailing address
103 FOX MEADOW RUN, JUPITER, FL 33458-5504
(859) 250-6898
(561) 401-9196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
221700000X
Art Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100490670
—
KY
Enumeration date
09/25/2019
Last updated
02/06/2024
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