Provider Demographics
NPI:1073145744
Name:HOPE & RESILIENCE LLC
Entity Type:Organization
Organization Name:HOPE & RESILIENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:AILEEN
Authorized Official - Last Name:LINDSTADT
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:631-897-7094
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-0220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 BROADHOLLOW RD STE 310
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4987
Practice Address - Country:US
Practice Address - Phone:631-897-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)