Provider Demographics
NPI:1790270098
Name:HOPE WELLNESS CENTERS, LLC
Entity Type:Organization
Organization Name:HOPE WELLNESS CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUIR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:754-444-6739
Mailing Address - Street 1:3315 PALOMINO DR APT 421
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2346
Mailing Address - Country:US
Mailing Address - Phone:754-444-6739
Mailing Address - Fax:954-443-9652
Practice Address - Street 1:7301 N UNIVERSITY DR STE 209
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:754-444-6739
Practice Address - Fax:954-443-9652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty