Provider Demographics
NPI:1497219547
Name:HOPEWELL THERAPY LLC.
Entity type:Organization
Organization Name:HOPEWELL THERAPY LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALICEA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-608-4497
Mailing Address - Street 1:145 CITYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-2519
Mailing Address - Country:US
Mailing Address - Phone:203-522-1495
Mailing Address - Fax:
Practice Address - Street 1:57 PLAINS RD STE 2C1
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-2589
Practice Address - Country:US
Practice Address - Phone:203-608-4497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty