| Hopeful Destiny, Llc | |
|
120 Summit Pkwy Ste 107c Homewood AL 35209-4741 | |
| (205) 704-1811 | |
| Not Available |
| Full Name | Hopeful Destiny, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 Summit Pkwy Ste 107c, Homewood, Alabama |
| Authorized Official Name and Position | Patrice D Thomas (COUNSELOR) |
| Authorized Official Contact | 2057041181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopeful Destiny, Llc 120 Summit Pkwy Ste 107c Homewood AL 35209-4741 Ph: (205) 704-1181 | Hopeful Destiny, Llc 120 Summit Pkwy Ste 107c Homewood AL 35209-4741 Ph: (205) 704-1811 |
| NPI Number | 1518535277 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 06/17/2021 |
| Certification Date | 06/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518535277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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