Hopebridge Llc | |
6909 Old Highway 441 S Ste 119 Mount Dora FL 32757-7039 | |
(352) 358-5001 | |
(317) 520-8200 |
Full Name | Hopebridge Llc |
---|---|
Speciality | Psychologist |
Location | 6909 Old Highway 441 S Ste 119, Mount Dora, Florida |
Authorized Official Name and Position | Stephen Louis Dicarlo (CREDENTIALING TEAM LEAD) |
Authorized Official Contact | 8553240885 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hopebridge Llc 3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 Ph: (855) 324-0885 | Hopebridge Llc 6909 Old Highway 441 S Ste 119 Mount Dora FL 32757-7039 Ph: (352) 358-5001 |
NPI Number | 1568118370 |
---|---|
Provider Enumeration Date | 03/02/2022 |
Last Update Date | 03/02/2022 |
Certification Date | 03/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568118370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
News Archive
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