Provider Demographics
NPI:1306574652
Name:HOPEBOUND MENTAL HEALTH
Entity type:Organization
Organization Name:HOPEBOUND MENTAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:404-590-7501
Mailing Address - Street 1:1119 S CANDLER ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4467
Mailing Address - Country:US
Mailing Address - Phone:404-590-7501
Mailing Address - Fax:
Practice Address - Street 1:1119 S CANDLER ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-4467
Practice Address - Country:US
Practice Address - Phone:908-461-5663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health