| Hopefield Mental Health Foundation, Inc | |
|
30 Sandstone Cir Jackson TN 38305-2073 | |
| (731) 240-1695 | |
| (731) 240-1694 |
| Full Name | Hopefield Mental Health Foundation, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 30 Sandstone Cir, Jackson, Tennessee |
| Authorized Official Name and Position | Sylvester Nwedo (PRESIDENT) |
| Authorized Official Contact | 7312401695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopefield Mental Health Foundation, Inc 30 Sandstone Cir Jackson TN 38305-2073 Ph: (731) 240-1695 | Hopefield Mental Health Foundation, Inc 30 Sandstone Cir Jackson TN 38305-2073 Ph: (731) 240-1695 |
| NPI Number | 1831845593 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 7719350255 |
|---|---|
| Medicare Enrollment ID | O20230302001520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831845593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sylvester A Nwedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184060113 PECOS PAC ID: 9335448299 Enrollment ID: I20160427000374 |
| Provider Name | Brittany S Moten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154771541 PECOS PAC ID: 8426338278 Enrollment ID: I20161213001571 |
| Provider Name | Markisha Hollands-peoples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619503513 PECOS PAC ID: 2163841628 Enrollment ID: I20201001002751 |
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