Provider Demographics
NPI:1669650537
Name:HOPE-HELPING OTHERS PROGRESS EVERYDAY
Entity Type:Organization
Organization Name:HOPE-HELPING OTHERS PROGRESS EVERYDAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:DONYETTA
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MED/MS ,CMT
Authorized Official - Phone:856-366-7064
Mailing Address - Street 1:811 CHURCH RD OFC CENTER
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1412
Mailing Address - Country:US
Mailing Address - Phone:856-366-7064
Mailing Address - Fax:856-486-1135
Practice Address - Street 1:811 CHURCH RD OFC CENTER
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1412
Practice Address - Country:US
Practice Address - Phone:856-366-7064
Practice Address - Fax:856-486-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM11443251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0064050Medicaid