| Hopeful Destiny, Llc | |
|
120 Summit Pkwy Ste 107c Homewood AL 35209-4741 | |
| (205) 704-1181 | |
| Not Available |
| Full Name | Hopeful Destiny, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 Summit Pkwy Ste 107c, Homewood, Alabama |
| Authorized Official Name and Position | Patrice Delayne Thomas (COUNSELOR) |
| Authorized Official Contact | 2057041181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeful Destiny, Llc 2348 Carraway St Birmingham AL 35235-2012 Ph: (205) 704-1181 | Hopeful Destiny, Llc 120 Summit Pkwy Ste 107c Homewood AL 35209-4741 Ph: (205) 704-1181 |
| NPI Number | 1205587672 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205587672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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