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General NPI Number Information
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NPI Number | 1235470055
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Entity Type | Organization
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Legal Business Name | H O P E PREVENTION AWARENESS & MENTORING SERVICES, LLC
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 1707 LINCOLN RD SUITE B
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City | HATTIESBURG
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State | MS
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Zip | 39402-3226
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Country | US
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Telephone | 601-212-9707
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Fax | 601-336-7395
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Provider Business Mailing Address
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Address Line | 1707 LINCOLN RD SUITE B
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City | HATTIESBURG
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State | MS
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Zip | 39402-3226
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Country | US
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Telephone | 601-212-9707
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Fax | 601-336-7395
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Authorized Official
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Title or Position | CEO
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Name | MRS. HOPE ALYSIA GRIFFITH-JONES
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Credential | M.S. , PCMHT, PCAT
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Telephone | 601-212-9707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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