Provider Demographics
NPI:1427679190
Name:SPEAK HOPE YOUTH AND FAMILY SERVICES
Entity type:Organization
Organization Name:SPEAK HOPE YOUTH AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NAKESHIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-628-0480
Mailing Address - Street 1:417 NW 18TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-5108
Mailing Address - Country:US
Mailing Address - Phone:972-628-0428
Mailing Address - Fax:
Practice Address - Street 1:417 NW 18TH ST
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-5108
Practice Address - Country:US
Practice Address - Phone:972-628-0428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)