Provider Demographics
NPI:1760046585
Name:A HOPEFUL EXCHANGE LLC
Entity Type:Organization
Organization Name:A HOPEFUL EXCHANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/ PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GISELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAYARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-778-0786
Mailing Address - Street 1:1113 NW 97TH DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5961
Mailing Address - Country:US
Mailing Address - Phone:954-778-0786
Mailing Address - Fax:
Practice Address - Street 1:10094 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1895
Practice Address - Country:US
Practice Address - Phone:754-802-2552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty