Provider Demographics
NPI:1538875638
Name:HOPEFUL THERAPY CENTER
Entity type:Organization
Organization Name:HOPEFUL THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACRISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:859-436-9618
Mailing Address - Street 1:1152 STONECROP DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-9054
Mailing Address - Country:US
Mailing Address - Phone:859-436-9618
Mailing Address - Fax:859-201-1361
Practice Address - Street 1:4750 HARTLAND PKWY STE 248
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1561
Practice Address - Country:US
Practice Address - Phone:859-436-9618
Practice Address - Fax:859-201-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty