Provider Demographics
NPI:1083949515
Name:HOPEFUL HEARTS CENTER LLC
Entity Type:Organization
Organization Name:HOPEFUL HEARTS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENICE
Authorized Official - Middle Name:MENZIES
Authorized Official - Last Name:MURLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-796-9766
Mailing Address - Street 1:3401 WENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-4849
Mailing Address - Country:US
Mailing Address - Phone:214-796-9766
Mailing Address - Fax:
Practice Address - Street 1:8215 WESTCHESTER DR
Practice Address - Street 2:SUITE 145
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6103
Practice Address - Country:US
Practice Address - Phone:214-796-9766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty