Healthcare Provider Details

I. General information

NPI: 1851714729
Provider Name (Legal Business Name): HOPEWELL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2014
Last Update Date: 08/08/2021
Certification Date: 08/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20909 E 51ST PL
DENVER CO
80249-8558
US

IV. Provider business mailing address

20909 E 51ST PL
DENVER CO
80249-8558
US

V. Phone/Fax

Practice location:
  • Phone: 225-456-6293
  • Fax: 225-678-5582
Mailing address:
  • Phone: 225-456-6293
  • Fax: 225-678-5582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5212
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENISE F DAVIS
Title or Position: SPEECH-LANGUAGE PATHOLOGIST/OWNER
Credential: M.S.,CCC-SLP
Phone: 225-456-6293