Provider Demographics
NPI:1902383789
Name:HER HOPE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:HER HOPE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:888-984-2523
Mailing Address - Street 1:3733 UNIVERSITY BLVD W STE 208
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-2103
Mailing Address - Country:US
Mailing Address - Phone:888-984-2523
Mailing Address - Fax:
Practice Address - Street 1:224 DATURA ST STE 1015
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5638
Practice Address - Country:US
Practice Address - Phone:888-984-2523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty