| Hope Lives Here | |
|
67 Trace Chain Ct Hiram GA 30141-3919 | |
| (678) 682-0405 | |
| Not Available |
| Full Name | Hope Lives Here |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 67 Trace Chain Ct, Hiram, Georgia |
| Authorized Official Name and Position | Shannon Davidson (FOUNDER/THERAPIST) |
| Authorized Official Contact | 6786820405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Lives Here 67 Trace Chain Ct Hiram GA 30141-3919 Ph: (678) 682-0405 | Hope Lives Here 67 Trace Chain Ct Hiram GA 30141-3919 Ph: (678) 682-0405 |
| NPI Number | 1730928227 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730928227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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