Provider Demographics
NPI:1497559603
Name:KINDRED HOPE THERAPY
Entity type:Organization
Organization Name:KINDRED HOPE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BREANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODALL
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-635-1909
Mailing Address - Street 1:6500 EP TRUE PKWY APT 7234
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5277
Mailing Address - Country:US
Mailing Address - Phone:319-504-9814
Mailing Address - Fax:
Practice Address - Street 1:6500 EP TRUE PKWY APT 7234
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5277
Practice Address - Country:US
Practice Address - Phone:515-635-1909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty