Provider Demographics
NPI:1407388408
Name:HOPE HEALING AND RECOVERY THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:HOPE HEALING AND RECOVERY THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-585-5019
Mailing Address - Street 1:19221 I 45 S
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8756
Mailing Address - Country:US
Mailing Address - Phone:936-585-5019
Mailing Address - Fax:936-585-4416
Practice Address - Street 1:19221 I 45 S
Practice Address - Street 2:SUITE 120
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-8756
Practice Address - Country:US
Practice Address - Phone:936-585-5019
Practice Address - Fax:936-585-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation