Provider Demographics
NPI:1750513412
Name:HOPE FOR TOMORROW SUPPORTIVE SERVICES, LLC
Entity type:Organization
Organization Name:HOPE FOR TOMORROW SUPPORTIVE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FRANCE-BREEDLOVE
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:317-331-6693
Mailing Address - Street 1:1307 W 34TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4548
Mailing Address - Country:US
Mailing Address - Phone:317-331-6693
Mailing Address - Fax:317-803-2384
Practice Address - Street 1:1307 W 34TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-4548
Practice Address - Country:US
Practice Address - Phone:317-331-6693
Practice Address - Fax:317-803-2384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33005337A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty