MEDICARE: HOPE 4 YOU, LLC

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	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679948053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE 4 YOU, LLC

Provider Business Mailing Address
First Line	:	2116 CATHERINE FRAN DR
Second Line	:
City	:	ACCOKEEK
State	:	MD
Zip	:	20607-3216
Country	:	US
Telephone Number	:	202-257-6632
Fax Number	:

Provider Business Practice Location Address
First Line	:	5211 AUTH RD
Second Line	:
City	:	SUITLAND
State	:	MD
Zip	:	20746-4339
Country	:	US
Telephone Number	:	202-257-6632
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRUCE TISDALE
Credential	:	LICSW, LCSW-C
Telephone Number	:	202-257-6632

Provider Enumeration Date	:	12/10/2015
Last Update Date	:	08/09/2023

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Directions to “HOPE 4 YOU, LLC ” Practice Location

Language	Start Address	Practice Location

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