Provider Demographics
NPI:1376249391
Name:HOPEFUL HORIZONS, L.L.C.
Entity Type:Organization
Organization Name:HOPEFUL HORIZONS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-741-6502
Mailing Address - Street 1:2108 NORTHLAND RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAWN
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6064
Mailing Address - Country:US
Mailing Address - Phone:443-741-6502
Mailing Address - Fax:
Practice Address - Street 1:2108 NORTHLAND RD
Practice Address - Street 2:
Practice Address - City:WOODLAWN
Practice Address - State:MD
Practice Address - Zip Code:21207-6064
Practice Address - Country:US
Practice Address - Phone:443-741-6502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health