| Hopebridge, Llc | |
|
175 Market Place Dr Ste A Louisville KY 40229-4471 | |
| (502) 251-7002 | |
| (317) 520-8200 |
| Full Name | Hopebridge, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 175 Market Place Dr Ste A, Louisville, Kentucky |
| Authorized Official Name and Position | Angie Graff (INSURANCE & CREDENTIALING MANAGER) |
| Authorized Official Contact | 3173768336 |
| 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 175 Market Place Dr Ste A Louisville KY 40229-4471 Ph: (502) 251-7002 |
| NPI Number | 1396259495 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 02/24/2021 |
| Certification Date | 02/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396259495 | NPI | - | NPPES |
| 7100493250 | Medicaid | KY |
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