Provider Demographics
NPI:1679266068
Name:HOPE THERAPY LAFAYETTE
Entity Type:Organization
Organization Name:HOPE THERAPY LAFAYETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISTRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-478-5880
Mailing Address - Street 1:1727 IMPERIAL BLVD BLDG 3
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5393
Mailing Address - Country:US
Mailing Address - Phone:337-478-5880
Mailing Address - Fax:
Practice Address - Street 1:1512 CAMELLIA BLVD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-478-5880
Practice Address - Fax:337-478-5879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty