Provider Demographics
NPI:1235982166
Name:HOPE SPRINGS MIND BODY SPIRIT LLC
Entity Type:Organization
Organization Name:HOPE SPRINGS MIND BODY SPIRIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SUERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERIE
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LAPC
Authorized Official - Phone:678-635-3136
Mailing Address - Street 1:706 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-2128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:706 S BROAD ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-2128
Practice Address - Country:US
Practice Address - Phone:678-635-3136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)