Provider Demographics
NPI:1467931592
Name:THERAPEUTIC CENTER FOR HOPE
Entity Type:Organization
Organization Name:THERAPEUTIC CENTER FOR HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-206-4073
Mailing Address - Street 1:4631 WINDWARD COVE LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-7401
Mailing Address - Country:US
Mailing Address - Phone:561-206-4073
Mailing Address - Fax:
Practice Address - Street 1:4631 WINDWARD COVE LN
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-7401
Practice Address - Country:US
Practice Address - Phone:156-120-6407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW110971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1902251549OtherNPI