Provider Demographics
NPI:1982899613
Name:LIFE WITH HOPE, LLC
Entity Type:Organization
Organization Name:LIFE WITH HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:M DIV
Authorized Official - Phone:727-600-8081
Mailing Address - Street 1:3607 ALT 19
Mailing Address - Street 2:SUITE B
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-1412
Mailing Address - Country:US
Mailing Address - Phone:727-600-8081
Mailing Address - Fax:727-865-5150
Practice Address - Street 1:3607 ALT 19
Practice Address - Street 2:SUITE B
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1412
Practice Address - Country:US
Practice Address - Phone:727-600-8081
Practice Address - Fax:727-865-5150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty