Provider Demographics
NPI:1629693023
Name:GAITS OF HOPE, LLC
Entity Type:Organization
Organization Name:GAITS OF HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-446-7944
Mailing Address - Street 1:3970 HENRY KAYLOR LN
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-7551
Mailing Address - Country:US
Mailing Address - Phone:828-446-7944
Mailing Address - Fax:828-728-7474
Practice Address - Street 1:3970 HENRY KAYLOR LN
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-7551
Practice Address - Country:US
Practice Address - Phone:828-446-7944
Practice Address - Fax:828-728-7474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty