Provider Demographics
NPI:1093332801
Name:HOPE SEED SUPPORT CENTER
Entity type:Organization
Organization Name:HOPE SEED SUPPORT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:BBS
Authorized Official - Phone:281-883-8048
Mailing Address - Street 1:10103 EARLINGTON MANOR DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7459
Mailing Address - Country:US
Mailing Address - Phone:281-883-8048
Mailing Address - Fax:949-655-7811
Practice Address - Street 1:10103 EARLINGTON MANOR DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7459
Practice Address - Country:US
Practice Address - Phone:281-883-8048
Practice Address - Fax:949-655-7811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE SEED SUPPORT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty