Provider Demographics
NPI:1467150706
Name:HOPEFUL MINDS PSYCHOLOGY GROUP LLC
Entity Type:Organization
Organization Name:HOPEFUL MINDS PSYCHOLOGY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA LLP
Authorized Official - Phone:248-795-9445
Mailing Address - Street 1:13330 SEQUOIA LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9112
Mailing Address - Country:US
Mailing Address - Phone:248-795-9445
Mailing Address - Fax:
Practice Address - Street 1:13330 SEQUOIA LN
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-9112
Practice Address - Country:US
Practice Address - Phone:248-795-9445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty