Provider Demographics
NPI:1346632759
Name:PIONEERING HOPE AND DISCOVERY
Entity Type:Organization
Organization Name:PIONEERING HOPE AND DISCOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TYESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:321-287-1336
Mailing Address - Street 1:500 STATE ROAD 436
Mailing Address - Street 2:SUITE 2030
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5387
Mailing Address - Country:US
Mailing Address - Phone:321-368-4018
Mailing Address - Fax:
Practice Address - Street 1:500 STATE ROAD 436
Practice Address - Street 2:SUITE 2030
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5387
Practice Address - Country:US
Practice Address - Phone:321-368-4018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-22
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management