Whalio Doctors

NPI 1174097752

Hopebridge, LLC

Organisation Child & Adolescent Psychiatry Physician Macon, GA

Practice location

Address
4931 Riverside Dr STE a, Macon, GA 31210-1156
Phone
(855) 324-0885
Fax
(317) 520-8200
Mailing address
3500 Depauw Blvd STE 3070, Indianapolis, IN 46268-6135

Authorised official

Name
Angie Graff
Title
Insurance & Credentialing Manager
Phone
(317) 376-8336

Registered specialties (11)

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X
Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 103K00000X
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X
Health Service Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TH0100X
Assistant Behavior Analyst
Behavioral Health & Social Service Providers Taxonomy 106E00000X
Behavior Technician
Behavioral Health & Social Service Providers Taxonomy 106S00000X
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X
Pediatric Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251P0200X
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X
Speech-Language Pathologist
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Registry record

NPI
1174097752
Entity type
Organization
NPI issued
16 Jan 2019
Record last updated
22 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.