Provider Demographics
NPI:1346027950
Name:AMERIHOPE BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:AMERIHOPE BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADEDOYIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBOWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-893-5051
Mailing Address - Street 1:4512 BURKES PROMISE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4696
Mailing Address - Country:US
Mailing Address - Phone:240-893-5051
Mailing Address - Fax:443-327-4714
Practice Address - Street 1:4512 BURKES PROMISE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4696
Practice Address - Country:US
Practice Address - Phone:240-893-5051
Practice Address - Fax:443-327-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty