Healthcare Provider Details

I. General information

NPI: 1235569740
Provider Name (Legal Business Name): HOPE CLINIC FOR WOMEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 11/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 HAYES ST
NASHVILLE TN
37203-2504
US

IV. Provider business mailing address

1810 HAYES ST
NASHVILLE TN
37203-2504
US

V. Phone/Fax

Practice location:
  • Phone: 615-321-0005
  • Fax: 615-321-5863
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RENEE RIZZO
Title or Position: CEO
Credential:
Phone: 615-321-4428