MEDICARE: HOPEWELL THERAPY 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1427875533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPEWELL THERAPY SERVICES PLLC

Provider Business Mailing Address
First Line	:	150 KING ARTHUR CT NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-7106
Country	:	US
Telephone Number	:	423-303-9955
Fax Number	:	423-805-1790

Provider Business Practice Location Address
First Line	:	150 KING ARTHUR CT NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-7106
Country	:	US
Telephone Number	:	423-303-9955
Fax Number	:	423-805-1790

Authorized Official
Title or Position	:	BEHAVIOR ANALYST
Name	:	MRS. TAMMY LYNN DAVIS
Credential	:	BCBA
Telephone Number	:	423-303-9955

Provider Enumeration Date	:	09/21/2024
Last Update Date	:	09/21/2024

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