Provider Demographics
NPI:1851997084
Name:HOPE AND HEALING
Entity Type:Organization
Organization Name:HOPE AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:615-424-3742
Mailing Address - Street 1:3317 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-8065
Mailing Address - Country:US
Mailing Address - Phone:615-424-3742
Mailing Address - Fax:949-655-5878
Practice Address - Street 1:3317 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37090-8065
Practice Address - Country:US
Practice Address - Phone:615-424-3742
Practice Address - Fax:949-655-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty