Provider Demographics
NPI:1063284347
Name:HOPE AND INSPIRATION PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:HOPE AND INSPIRATION PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGICAL ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:LPA
Authorized Official - Phone:704-325-9464
Mailing Address - Street 1:300 LANGHORNE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NC
Mailing Address - Zip Code:28120-1452
Mailing Address - Country:US
Mailing Address - Phone:704-517-7130
Mailing Address - Fax:
Practice Address - Street 1:16501D NORTHCROSS DR # 121
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5081
Practice Address - Country:US
Practice Address - Phone:704-325-9464
Practice Address - Fax:704-275-1833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE AND INSPIRATION PSYCHOLOGICAL SERVICES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1285133405OtherPERSONAL NPI