Provider Demographics
NPI:1881628733
Name:HOPE CATCHERS LLC
Entity type:Organization
Organization Name:HOPE CATCHERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-822-3333
Mailing Address - Street 1:3501 KENNICOT RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-1136
Mailing Address - Country:US
Mailing Address - Phone:910-822-3333
Mailing Address - Fax:910-822-3336
Practice Address - Street 1:5843 RAMSEY ST
Practice Address - Street 2:SUITE K
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-3481
Practice Address - Country:US
Practice Address - Phone:910-822-3333
Practice Address - Fax:910-822-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0045761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty