Healthcare Provider Details

I. General information

NPI: 1902152952
Provider Name (Legal Business Name): HOPE 4 AUTISM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2012
Last Update Date: 07/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 HIGHWAY 71 N SUITE 5
ALMA AR
72921-5107
US

IV. Provider business mailing address

641 HIGHWAY 71 N SUITE 5
ALMA AR
72921-5107
US

V. Phone/Fax

Practice location:
  • Phone: 580-748-2018
  • Fax:
Mailing address:
  • Phone: 580-748-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1-12-11455
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number1-12-11455
License Number StateAR

VIII. Authorized Official

Name: DR. SHEILA KAYE BARNES
Title or Position: OWNER/EXECUTIVE CLINICAL DIRECTOR
Credential: PH.D.
Phone: 580-748-2018