Provider Demographics
NPI:1285342824
Name:HOPE PROGRESSIVE THERAPY SERVICES INC
Entity type:Organization
Organization Name:HOPE PROGRESSIVE THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIOVANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-300-4673
Mailing Address - Street 1:14911 SW 88TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1402
Mailing Address - Country:US
Mailing Address - Phone:305-300-4673
Mailing Address - Fax:
Practice Address - Street 1:8950 SW 74TH CT # 2259
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-3171
Practice Address - Country:US
Practice Address - Phone:786-363-0256
Practice Address - Fax:305-675-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty