Healthcare Provider Details

I. General information

NPI: 1578603833
Provider Name (Legal Business Name): HOPESPOKE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 03/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 SUMNER
LINCOLN NE
68502
US

IV. Provider business mailing address

2444 O STREET
LINCOLN NE
68510
US

V. Phone/Fax

Practice location:
  • Phone: 402-434-2670
  • Fax: 402-434-2672
Mailing address:
  • Phone: 402-475-7666
  • Fax: 402-476-9623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License NumberMHC045
License Number StateNE

VIII. Authorized Official

Name: MS. KATHRYN MCLEESE STEPHENSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 402-475-7666