Provider Demographics
NPI:1902152952
Name:HOPE 4 AUTISM, LLC
Entity type:Organization
Organization Name:HOPE 4 AUTISM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:580-748-2018
Mailing Address - Street 1:641 HIGHWAY 71 N
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-5107
Mailing Address - Country:US
Mailing Address - Phone:580-748-2018
Mailing Address - Fax:
Practice Address - Street 1:641 HIGHWAY 71 N
Practice Address - Street 2:SUITE 5
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-5107
Practice Address - Country:US
Practice Address - Phone:580-748-2018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1-12-11455252Y00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency