HOPEBRIDGE, LLC (NPI# 1790245173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790245173 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE, LLC |
| Practice Address |
2651 Dallas Hwy Sw Marietta GA 30064-2541 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8553240885 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | ANGIE GRAFF (INSURANCE & CREDENTIALING MANAGER) |
| Authorized Official Telephone | 3173768336 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOPEBRIDGE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154882397 | Hopebridge, LLC | Psychologist | 9559 Highway 5 Ste 601, Douglasville, GA 30135-1572 | 2019-03-29 |
| 1174097752 | Hopebridge, LLC | Behavioral Analyst | 4931 Riverside Dr Ste A, Macon, GA 31210-1156 | 2019-01-16 |
| 1952880049 | Hopebridge, LLC | Behavior Technician | 4000 Smithtown Rd Ste 200, Suwanee, GA 30024-6560 | 2018-08-09 |
| 1922586486 | Hopebridge, LLC | Behavioral Analyst | 1455 Old Alabama Rd Ste 195, Roswell, GA 30076-2129 | 2018-08-06 |
| 1902396583 | Hopebridge, LLC | Psychologist | 7325 Production Dr, Mentor, OH 44060-4889 | 2018-05-18 |
| 1922522192 | Hopebridge, LLC | Psychologist | 1255 Kemper Meadow Dr Ste 900, Cincinnati, OH 45240-1633 | 2017-07-31 |
| 1497279814 | Hopebridge, LLC | Behavioral Analyst | 7264 Columbia Rd Ste 700, Mason, OH 45039-8086 | 2017-07-27 |
| 1891820668 | Hopebridge, LLC | Occupational Therapist | 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 | 2007-02-22 |
| 1114587110 | Hopebridge, LLC | Behavioral Analyst | 9302 E 22nd St, Tucson, AZ 85710-7342 | 2019-06-20 |
| 1053872291 | Hopebridge, LLC | Behavioral Analyst | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2019-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Hopebridge, LLC | 3500 Depauw Blvd., Suite 3070, Indianapolis, IN 46268 |
| Street Address |
2651 DALLAS HWY SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384758 | Latifah Ashley Allen | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-10-21 |
| 1154920114 | Alonso Manuel Bonilla | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-10-21 |
| 1801493036 | Shevita Andrea Cooper-martin | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-10-01 |
| 1447866553 | Ansley Stansell Tiencken | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1518573625 | Holly Joy Walker | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1972119089 | Lacohlia Jade Rollins | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1851907968 | Sarah Michelle Thomas | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-23 |
| 1801401591 | Jordan Elizabeth Hand | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-10 |
| 1356956049 | Destini Elizabeth Kadijah Heard | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-10 |
| 1881209799 | Rachel Michelle Spann | Behavior Technician | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2020-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770731713 | Opeoluwa Olabisi Akinnusi | Psychiatry & Neurology | 2617 Sandy Plains Rd, Suite C, Marietta, GA 30066-4254 | 2008-09-03 |
| 1992798623 | Harshad Ambalal Patel | Psychiatry & Neurology | 4994 Lower Roswell Rd, Suite 29, Marietta, GA 30068-4332 | 2005-08-29 |
| 1841732138 | Sunrise Pediatric Neurology | Psychiatry & Neurology | 3417 Canton Rd, Building1, Marietta, GA 30066-2896 | 2016-11-17 |
| 1508070657 | Victor R. Gonzalez, Sr. | Psychiatry & Neurology | 127 Cherry St Ne, Marietta, GA 30060-7205 | 2007-05-09 |
| 1174744536 | Eva Maria Nemeth | Psychiatry & Neurology | 141 Village Pkwy Ne, Building 5, Suite E, Marietta, GA 30067-1514 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468840 | Angela Leigh Eubanks | Psychiatry & Neurology | 11 S Winston St, Reynolds, GA 31076-3200 | 2020-02-11 |
| 1265064364 | Haven Psychiatry, LLC | Psychiatry & Neurology | 5871 Glenridge Dr Ste 220, Atlanta, GA 30328-5305 | 2020-02-06 |
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1093249393 | Healing for All LLC | Psychiatry & Neurology | 3307 Sir Henry St, East Point, GA 30344-5831 | 2017-04-13 |
| 1699216416 | Abva, Inc | Psychiatry & Neurology | 4565 Rockmart Rd Se, Unit 1261, Silver Creek, GA 30173-2442 | 2017-03-13 |
| 1225436017 | Aatma Seva Health Inc | Psychiatry & Neurology | 523 Dixie St Ste 3, Carrollton, GA 30117-3870 | 2014-12-11 |
| 1619309309 | Howel William Slaughter Jr. | Psychiatry & Neurology | 40 Abington Ct Nw, Atlanta, GA 30327-1352 | 2013-08-05 |
| 1427493568 | Susan Kirsch | Psychiatry & Neurology | 7000 Peachtree Dunwoody Rd Bldg 16, Atlanta, GA 30328-1655 | 2013-05-02 |
| 1023362852 | Rivertown Psychiatry, PC | Psychiatry & Neurology | 1520 22nd Street, Columbus, GA 31901-1632 | 2012-10-31 |
| 1548550429 | Bene' Mental Wellness | Psychiatry & Neurology | 1835 Savoy Dr Ste 101, Atlanta, GA 30341-1073 | 2011-04-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.