| Spring Of Hope Therapeutic Services, Llc | |
|
325 Brown St Ste 117 Petersburg VA 23803-4234 | |
| (804) 721-0354 | |
| Not Available |
| Full Name | Spring Of Hope Therapeutic Services, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 325 Brown St Ste 117, Petersburg, Virginia |
| Authorized Official Name and Position | Robin Starke (CEO) |
| Authorized Official Contact | 8047210354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Of Hope Therapeutic Services, Llc 325 Brown St Ste 117 Petersburg VA 23803-4234 Ph: (804) 721-0354 | Spring Of Hope Therapeutic Services, Llc 325 Brown St Ste 117 Petersburg VA 23803-4234 Ph: (804) 721-0354 |
| NPI Number | 1023717592 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023717592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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