MEDICARE: HOPE PSYCHOLOGICAL SERVICES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1306729702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE PSYCHOLOGICAL SERVICES, PLLC

Provider Business Mailing Address
First Line	:	8209 BEADED STONE ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-6947
Country	:	US
Telephone Number	:	253-307-0616
Fax Number	:

Provider Business Practice Location Address
First Line	:	8024 GLENWOOD AVE STE 305
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-1952
Country	:	US
Telephone Number	:	253-307-0616
Fax Number	:

Authorized Official
Title or Position	:	OWNER / HSP-PA, LBA, BCBA
Name	:	MEGAN HENRICHSEN
Credential	:	HSP-PA, LBA, BCBA
Telephone Number	:	253-307-0616

Provider Enumeration Date	:	07/31/2025
Last Update Date	:	07/31/2025

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