Healthcare Provider Details

I. General information

NPI: 1427875533
Provider Name (Legal Business Name): HOPEWELL THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2024
Last Update Date: 09/21/2024
Certification Date: 09/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 KING ARTHUR CT NW
CLEVELAND TN
37312-7106
US

IV. Provider business mailing address

150 KING ARTHUR CT NW
CLEVELAND TN
37312-7106
US

V. Phone/Fax

Practice location:
  • Phone: 423-303-9955
  • Fax: 423-805-1790
Mailing address:
  • Phone: 423-303-9955
  • Fax: 423-805-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMMY LYNN DAVIS
Title or Position: BEHAVIOR ANALYST
Credential: BCBA
Phone: 423-303-9955