Provider Demographics
NPI:1235470055
Name:H O P E PREVENTION AWARENESS & MENTORING SERVICES, LLC
Entity Type:Organization
Organization Name:H O P E PREVENTION AWARENESS & MENTORING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:ALYSIA
Authorized Official - Last Name:GRIFFITH-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS , PCMHT, PCAT
Authorized Official - Phone:601-212-9707
Mailing Address - Street 1:1707 LINCOLN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-3226
Mailing Address - Country:US
Mailing Address - Phone:601-212-9707
Mailing Address - Fax:601-336-7395
Practice Address - Street 1:1707 LINCOLN RD
Practice Address - Street 2:SUITE B
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-3226
Practice Address - Country:US
Practice Address - Phone:601-212-9707
Practice Address - Fax:601-336-7395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty