| Hopeful Therapy Center | |
|
4750 Hartland Pkwy Ste 248 Lexington KY 40515-1561 | |
| (859) 436-9618 | |
| (859) 201-1361 |
| Full Name | Hopeful Therapy Center |
|---|---|
| Speciality | Social Worker |
| Location | 4750 Hartland Pkwy Ste 248, Lexington, Kentucky |
| Authorized Official Name and Position | Jacrissa Stevenson (OWNER) |
| Authorized Official Contact | 8594369618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeful Therapy Center 1152 Stonecrop Dr Lexington KY 40509-9054 Ph: (859) 436-9618 | Hopeful Therapy Center 4750 Hartland Pkwy Ste 248 Lexington KY 40515-1561 Ph: (859) 436-9618 |
| NPI Number | 1538875638 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 2567827314 |
|---|---|
| Medicare Enrollment ID | O20230429000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538875638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacrissa Stevenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629446760 PECOS PAC ID: 3476918228 Enrollment ID: I20230429000291 |
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