Provider Demographics
NPI:1508005836
Name:HOPE FOR FAMILIES AND COMMUNITY SERVICES, INC.
Entity Type:Organization
Organization Name:HOPE FOR FAMILIES AND COMMUNITY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LULA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:334-318-5108
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:NOTASULGA
Mailing Address - State:AL
Mailing Address - Zip Code:36866-0226
Mailing Address - Country:US
Mailing Address - Phone:334-318-5108
Mailing Address - Fax:334-738-5080
Practice Address - Street 1:113 MCCOY LN
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:AL
Practice Address - Zip Code:35470-2809
Practice Address - Country:US
Practice Address - Phone:334-318-5108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL703103TC2200X
AL2191B104100000X
ALDO.4212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty