Provider Demographics
NPI:1831662196
Name:HOPEWAY PSYCHIATRY & ASSOCIATES LLC
Entity Type:Organization
Organization Name:HOPEWAY PSYCHIATRY & ASSOCIATES LLC
Other - Org Name:HOPEWAY PSYCHIATRY & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSON
Authorized Official - Middle Name:R
Authorized Official - Last Name:KUROSKI-MAZZEI
Authorized Official - Suffix:
Authorized Official - Credentials:DO, MRO, FAPA
Authorized Official - Phone:980-859-2106
Mailing Address - Street 1:5925 CARNEGIE BLVD STE 525
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-4671
Mailing Address - Country:US
Mailing Address - Phone:980-859-0990
Mailing Address - Fax:
Practice Address - Street 1:5925 CARNEGIE BLVD STE 525
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-4671
Practice Address - Country:US
Practice Address - Phone:980-859-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPEWAY FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-09
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty