Provider Demographics
NPI:1225819113
Name:HOPESTONE HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:HOPESTONE HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER/PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:IKRAN
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-564-5712
Mailing Address - Street 1:2 FERNS CT
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-7478
Mailing Address - Country:US
Mailing Address - Phone:443-564-5712
Mailing Address - Fax:
Practice Address - Street 1:2 FERNS CT
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-7478
Practice Address - Country:US
Practice Address - Phone:443-564-5712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty