Provider Demographics
NPI:1154195352
Name:GREEN HOPE BEHAVIORAL SERVICES INC
Entity type:Organization
Organization Name:GREEN HOPE BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ SOTOLONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-506-2645
Mailing Address - Street 1:9299 SW 152ND ST STE 200F
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1776
Mailing Address - Country:US
Mailing Address - Phone:786-506-2645
Mailing Address - Fax:
Practice Address - Street 1:9299 SW 152ND ST STE 200F
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1776
Practice Address - Country:US
Practice Address - Phone:786-506-2645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty