| Hopebridge, Llc | |
|
9260 Marketplace Dr Miamisburg OH 45342-4478 | |
| (855) 324-0885 | |
| (765) 450-6664 |
| Full Name | Hopebridge, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 9260 Marketplace Dr, Miamisburg, Ohio |
| Authorized Official Name and Position | Stephen Louis Dicarlo (CREDENTIALING ASSISTANT MANAGER) |
| Authorized Official Contact | 8553240885 |
| 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: () - | Hopebridge, Llc 9260 Marketplace Dr Miamisburg OH 45342-4478 Ph: (855) 324-0885 |
| NPI Number | 1326550781 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326550781 | NPI | - | NPPES |
| 0265830 | Medicaid | OH |
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