| Hopeful Origins, Llc | |
|
103 Southern Oaks Dr Plant City FL 33563-1451 | |
| (813) 652-2167 | |
| (443) 267-0020 |
| Full Name | Hopeful Origins, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 103 Southern Oaks Dr, Plant City, Florida |
| Authorized Official Name and Position | Nadia M Swanson (OWNER/PROVIDER) |
| Authorized Official Contact | 4104208300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeful Origins, Llc 103 Southern Oaks Dr Plant City FL 33563-1451 Ph: (410) 420-8300 | Hopeful Origins, Llc 103 Southern Oaks Dr Plant City FL 33563-1451 Ph: (813) 652-2167 |
| NPI Number | 1265104046 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265104046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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