Provider Demographics
NPI:1497495972
Name:HOPE REINS LLC
Entity Type:Organization
Organization Name:HOPE REINS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUBREE
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-291-7258
Mailing Address - Street 1:PO BOX 461294
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:UT
Mailing Address - Zip Code:84746-1294
Mailing Address - Country:US
Mailing Address - Phone:435-291-7258
Mailing Address - Fax:833-457-1704
Practice Address - Street 1:230 N 1680 E STE I1
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2586
Practice Address - Country:US
Practice Address - Phone:435-291-7258
Practice Address - Fax:833-457-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1154512283Medicaid