Provider Demographics
NPI:1477097012
Name:HOPE SPRINGS WELLNESS AND RECOVERY
Entity Type:Organization
Organization Name:HOPE SPRINGS WELLNESS AND RECOVERY
Other - Org Name:BRIAN WHITE MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-213-7645
Mailing Address - Street 1:800 KENNESAW AVE NW
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1051
Mailing Address - Country:US
Mailing Address - Phone:678-213-7645
Mailing Address - Fax:678-723-1560
Practice Address - Street 1:800 KENNESAW AVE NW
Practice Address - Street 2:SUITE 120
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1051
Practice Address - Country:US
Practice Address - Phone:678-213-7645
Practice Address - Fax:678-723-1560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0611862084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty