| Hope Therapy, Llc | |
|
224 Darwish Dr Mcdonough GA 30252-3624 | |
| (404) 512-5231 | |
| Not Available |
| Full Name | Hope Therapy, Llc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 224 Darwish Dr, Mcdonough, Georgia |
| Authorized Official Name and Position | Jena Harley (OWNER) |
| Authorized Official Contact | 4045125231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Therapy, Llc 224 Darwish Dr Mcdonough GA 30252-3624 Ph: (404) 512-5231 | Hope Therapy, Llc 224 Darwish Dr Mcdonough GA 30252-3624 Ph: (404) 512-5231 |
| NPI Number | 1124707831 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 2365882453 |
|---|---|
| Medicare Enrollment ID | O20240507001554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124707831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Jena Harley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033244736 PECOS PAC ID: 9436590528 Enrollment ID: I20240509001324 |
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