Provider Demographics
NPI:1730054339
Name:SPECTRUM OF HOPE LLC
Entity type:Organization
Organization Name:SPECTRUM OF HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRELLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-673-9320
Mailing Address - Street 1:PO BOX 7181
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-7181
Mailing Address - Country:US
Mailing Address - Phone:573-673-9320
Mailing Address - Fax:573-410-4066
Practice Address - Street 1:5303 SAPPHIRE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-4904
Practice Address - Country:US
Practice Address - Phone:573-673-9320
Practice Address - Fax:573-410-4066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty