Provider Demographics
NPI:1699142133
Name:CENTERS FOR HOPE & WELLNESS, INC.
Entity type:Organization
Organization Name:CENTERS FOR HOPE & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:317-272-8138
Mailing Address - Street 1:7517 BEECHWOOD CENTRE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7852
Mailing Address - Country:US
Mailing Address - Phone:317-272-8138
Mailing Address - Fax:317-272-8165
Practice Address - Street 1:7517 BEECHWOOD CENTRE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7852
Practice Address - Country:US
Practice Address - Phone:317-272-8138
Practice Address - Fax:317-272-8165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042119A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center