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General NPI Number Information
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NPI Number | 1487460135
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Entity Type | Organization
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Legal Business Name | HOPE HOUSE PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 12/07/2024
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 22200 PANAMA CITY BEACH PKWY # F
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-3226
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Country | US
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Telephone | 850-312-8055
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Fax |
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Provider Business Mailing Address
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Address Line | 22200 PANAMA CITY BEACH PKWY # F
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-3226
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Country | US
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Telephone | 850-312-8055
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRISTIE SEALEY
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Credential | PH.D.
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Telephone | 850-312-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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