Healthcare Provider Details

I. General information

NPI: 1518880368
Provider Name (Legal Business Name): HOPE COLLINS CARR MED CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 W SPRING STREET
MOUNT VERNON GA
30445
US

IV. Provider business mailing address

PO BOX 937
MOUNT VERNON GA
30445-0937
US

V. Phone/Fax

Practice location:
  • Phone: 912-253-8244
  • Fax:
Mailing address:
  • Phone: 912-253-8244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP010237
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: