| Hope 4 Tomorrow Llc | |
|
2422 E Washington St Suite 107 Bloomington IL 61704-4478 | |
| (309) 310-9621 | |
| (309) 454-6501 |
| Full Name | Hope 4 Tomorrow Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2422 E Washington St, Bloomington, Illinois |
| Authorized Official Name and Position | Roxxi M Davis (OWNER) |
| Authorized Official Contact | 3093109621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope 4 Tomorrow Llc 2422 E Washington St Suite 107 Bloomington IL 61704-4478 Ph: (309) 310-9621 | Hope 4 Tomorrow Llc 2422 E Washington St Suite 107 Bloomington IL 61704-4478 Ph: (309) 310-9621 |
| NPI Number | 1063898476 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 11/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063898476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.015543 (Illinois) | Primary |
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