Provider Demographics
NPI:1043937113
Name:HOPEWELL HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:HOPEWELL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLICHTING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-946-0447
Mailing Address - Street 1:33 PRATT ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1014
Mailing Address - Country:US
Mailing Address - Phone:860-946-0447
Mailing Address - Fax:860-430-6861
Practice Address - Street 1:300 HEBRON AVE STE 203
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2192
Practice Address - Country:US
Practice Address - Phone:860-946-0447
Practice Address - Fax:860-430-6861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1164865622OtherNPI HHS