Provider Demographics
NPI:1821755182
Name:GREATHOPE PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:GREATHOPE PSYCHIATRY PLLC
Other - Org Name:GREATHOPE PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE/BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-778-0263
Mailing Address - Street 1:310 E INTERSTATE 30 STE B106
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-4047
Mailing Address - Country:US
Mailing Address - Phone:469-778-0263
Mailing Address - Fax:469-778-0262
Practice Address - Street 1:310 E INTERSTATE 30 STE B106
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4047
Practice Address - Country:US
Practice Address - Phone:469-778-0263
Practice Address - Fax:469-778-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-22
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty