Healthcare Provider Details
I. General information
NPI: 1437973880
Provider Name (Legal Business Name): THERE'S HOPE FOR US KIDS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2024
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9711 HOLLAND ST STE 1
BAKERSFIELD CA
93312-2773
US
IV. Provider business mailing address
9711 HOLLAND ST STE 1
BAKERSFIELD CA
93312-2773
US
V. Phone/Fax
- Phone: 805-561-8914
- Fax:
- Phone: 805-561-8914
- Fax: 213-510-4095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOPRAYA
STIDOM
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT LPCC
Phone: 805-561-8914