Provider Demographics
NPI:1871018879
Name:HOPEWELL ALCOHOL & DRUG ABUSE COUNSELING, LLC
Entity Type:Organization
Organization Name:HOPEWELL ALCOHOL & DRUG ABUSE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-402-1342
Mailing Address - Street 1:308 KNOX RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-2316
Mailing Address - Country:US
Mailing Address - Phone:310-402-1342
Mailing Address - Fax:310-861-8288
Practice Address - Street 1:308 KNOX RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2316
Practice Address - Country:US
Practice Address - Phone:310-402-1342
Practice Address - Fax:310-861-8288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Multi-Specialty