Provider Demographics
NPI:1427875533
Name:HOPEWELL THERAPY SERVICES PLLC
Entity type:Organization
Organization Name:HOPEWELL THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR ANALYST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:423-303-9955
Mailing Address - Street 1:150 KING ARTHUR CT NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-7106
Mailing Address - Country:US
Mailing Address - Phone:423-303-9955
Mailing Address - Fax:423-805-1790
Practice Address - Street 1:150 KING ARTHUR CT NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-7106
Practice Address - Country:US
Practice Address - Phone:423-303-9955
Practice Address - Fax:423-805-1790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty