Basic Information
Provider Information
NPI: 1992904056
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JAMES
FirstName: HOPE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: LISW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 932909
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441930026
CountryCode: US
TelephoneNumber: 3308544281
FaxNumber: 3308540032
Practice Location
Address1: 6724 WALES AVE NW
Address2:  
City: MASSILLON
State: OH
PostalCode: 446469006
CountryCode: US
TelephoneNumber: 3308374264
FaxNumber: 3308379195
Other Information
ProviderEnumerationDate: 07/17/2007
LastUpdateDate: 08/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X0009979OHY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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