Provider Demographics
NPI:1184406969
Name:HOPEFUL HEARTS MENTAL HEALTH, PC
Entity type:Organization
Organization Name:HOPEFUL HEARTS MENTAL HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CNP, PMHNP-BC
Authorized Official - Phone:575-415-4402
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:TULAROSA
Mailing Address - State:NM
Mailing Address - Zip Code:88352-0910
Mailing Address - Country:US
Mailing Address - Phone:575-415-4402
Mailing Address - Fax:575-815-7071
Practice Address - Street 1:1909 CUBA AVE STE 1
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-5646
Practice Address - Country:US
Practice Address - Phone:575-415-4402
Practice Address - Fax:575-815-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty