| Hope Inspired Psychotherapy | |
|
112 Lonsdale Rd Buffalo NY 14208-1532 | |
| (716) 465-9281 | |
| Not Available |
| Full Name | Hope Inspired Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 112 Lonsdale Rd, Buffalo, New York |
| Authorized Official Name and Position | Laurence Roosevelt Jones (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7164659281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Inspired Psychotherapy 112 Lonsdale Rd Buffalo NY 14208-1532 Ph: (716) 465-9281 | Hope Inspired Psychotherapy 112 Lonsdale Rd Buffalo NY 14208-1532 Ph: (716) 465-9281 |
| NPI Number | 1295495570 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Medicare PECOS PAC ID | 0143612457 |
|---|---|
| Medicare Enrollment ID | O20220119000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295495570 | NPI | - | NPPES |
| 05452415 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laurence Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306230982 PECOS PAC ID: 6507110236 Enrollment ID: I20181116000595 |
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