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Contact Information

HOPEBRIDGE, LLC
2427 RUSSELLVILLE RD
BOWLING GREEN, KY42101-3980
 Phone: 270-936-7472
 Fax: 765-450-6664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Assistant Behavior Analyst

106E00000X
 

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HOPEBRIDGE LLC · (Female)

NPI Number 1477071033
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2017
Last updated 06/24/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100482410
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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