MEDICARE: HOPEMAKERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	PS005822L	PA

General Provider Information

NPI Number	:	1578055901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPEMAKERS LLC

Provider Business Mailing Address
First Line	:	1902 7TH AVE STE 120
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-3902
Country	:	US
Telephone Number	:	724-480-9018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1902 7TH AVE STE 120
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-3902
Country	:	US
Telephone Number	:	724-480-9018
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST
Name	:	NANCY E KUNSAK
Credential	:	PHD
Telephone Number	:	724-581-3284

Provider Enumeration Date	:	06/01/2018
Last Update Date	:	06/01/2018

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Directions to “HOPEMAKERS LLC ” Practice Location

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