Provider Demographics
NPI: | 1578882437 |
---|---|
Name: | HOPE SERVICES, LLC |
Entity type: | Organization |
Organization Name: | HOPE SERVICES, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR/OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | WENDY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MAGUIRE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 919-215-8852 |
Mailing Address - Street 1: | 3737 BENSON DR |
Mailing Address - Street 2: | |
Mailing Address - City: | RALEIGH |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27609-7324 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 919-532-7599 |
Mailing Address - Fax: | 919-532-7597 |
Practice Address - Street 1: | 918 SALT WATER LN |
Practice Address - Street 2: | |
Practice Address - City: | CAROLINA BEACH |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28428-4645 |
Practice Address - Country: | US |
Practice Address - Phone: | 910-458-2732 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-05-18 |
Last Update Date: | 2010-05-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 23001 | 2084P0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |