Provider Demographics
NPI:1407675309
Name:AMIKIDS, INC
Entity type:Organization
Organization Name:AMIKIDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP BEHAVIORAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADSHAW HOPPOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, PHD
Authorized Official - Phone:813-887-3300
Mailing Address - Street 1:5915 BENJAMIN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5239
Mailing Address - Country:US
Mailing Address - Phone:813-887-3300
Mailing Address - Fax:813-200-2909
Practice Address - Street 1:600 INTERSTATE PARK DR STE 600
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-5416
Practice Address - Country:US
Practice Address - Phone:813-734-5678
Practice Address - Fax:813-200-2909
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMIKIDS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health