OrganizationActive
Hopebridge, LLC
NPI 1053872291 · Child & Adolescent Psychiatry Physician · Fayetteville, GA
Provider details
- NPI number
- 1053872291
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Hopebridge LLC
- Organization subpart
- Yes
- Authorized official
- Angie Graff, Insurance & Credentialing Manager(317) 376-8336
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
126 Pavilion Pkwy
Fayetteville, GA 30214-4056
Phone: (855) 324-0885
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2019-03-29
- Last updated
- 2019-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.