Organization Active NPI

Hopeful Destiny, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homewood, AL
National Provider Identifier
1205587672
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOPEFUL DESTINY, LLC
Practice address
120 Summit Pkwy Ste 107C
Homewood, AL 35209-4741
Phone
(205) 704-1181
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Patrice Delayne Thomas, LPCNPI 1922631126
Title
Counselor
Phone
(205) 704-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

120 Summit Pkwy Ste 107C
Homewood, AL 35209-4741

Mailing address

2348 Carraway St
Birmingham, AL 35235-2012
Phone (205) 704-1181

National Provider Directory

National Provider Directory
Tax ID family
Hopeful Destiny LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 Summit Pkwy
Ste 107C
Homewood, AL 35209
Phone (205) 704-1181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1205587672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 CARRAWAY ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352012",
            "telephone_number": "205-704-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SUMMIT PKWY STE 107C",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094741",
            "telephone_number": "205-704-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEFUL DESTINY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "DELAYNE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "205-704-1181",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.