| Hope Evergreen Llc | |
|
8569 Cordes Cir Ste 1 Germantown TN 38139-3317 | |
| (901) 250-5649 | |
| (228) 400-7966 |
| Full Name | Hope Evergreen Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8569 Cordes Cir Ste 1, Germantown, Tennessee |
| Authorized Official Name and Position | Katheryn Mclendon (BUSINESS OWNER) |
| Authorized Official Contact | 9012505649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Evergreen Llc Po Box 1421 Olive Branch MS 38654-0925 Ph: (901) 250-5649 | Hope Evergreen Llc 8569 Cordes Cir Ste 1 Germantown TN 38139-3317 Ph: (901) 250-5649 |
| NPI Number | 1568188266 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568188266 | NPI | - | NPPES |
| 1437483724 | Other | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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