Healthcare Provider Details

I. General information

NPI: 1942660246
Provider Name (Legal Business Name): HIGH HOPES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 02/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12786 ILLINOIS ST
ELBERTA AL
36530-2698
US

IV. Provider business mailing address

PO BOX 46
ELBERTA AL
36530-0046
US

V. Phone/Fax

Practice location:
  • Phone: 251-986-7007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL MUELLER
Title or Position: DIRECTOR
Credential:
Phone: 251-986-7007