Provider Demographics
NPI:1477318319
Name:HOPEGROWS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:HOPEGROWS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:AYIERA
Authorized Official - Last Name:NDEGE
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:763-464-6462
Mailing Address - Street 1:4112 105TH TRL N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1335
Mailing Address - Country:US
Mailing Address - Phone:763-464-6462
Mailing Address - Fax:
Practice Address - Street 1:4112 105TH TRL N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1335
Practice Address - Country:US
Practice Address - Phone:763-464-6462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty