Provider Demographics
NPI:1659931749
Name:HOPE RECONSTRUCTION, LLC.
Entity Type:Organization
Organization Name:HOPE RECONSTRUCTION, LLC.
Other - Org Name:HOPE RECONSTRUCTION THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS/BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-375-1775
Mailing Address - Street 1:611 DRUID RD E STE 704
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3939
Mailing Address - Country:US
Mailing Address - Phone:802-727-0246
Mailing Address - Fax:813-229-6609
Practice Address - Street 1:611 DRUID RD E STE 704
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3939
Practice Address - Country:US
Practice Address - Phone:802-727-0246
Practice Address - Fax:813-229-6609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2024-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty