Wild Hope Therapy, LLC
Organization Active NPI Clinical Social Worker · Upper Arlngtn, OH
NPI 1386253003 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1386253003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- WILD HOPE THERAPY, LLC
- Practice address
- 3040 Riverside Dr Ste 117
Upper Arlngtn, OH 43221-2550 - Phone
- (614) 328-9714
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Stephanie Purdom, LISW
- Title
- Owner
- Phone
- (630) 404-7833
Practitioners 2
-
Madison Eagle, LSW
-
Stephanie Purdom, LCSW
National Provider Directory
Locations
3040 Riverside Dr
Ste 117
Upper Arlngtn, OH 43221
Phone (614) 328-9714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes | ||
| School Social Worker |
1041S0200X |
Addresses
Primary practice location
3040 Riverside Dr Ste 117
Upper Arlngtn, OH 43221-2550
Mailing address
3295 Kenmore Rd
Shaker Heights, OH 44122-3456
Phone (630) 404-7833
Other providers in Upper Arlngtn, OH
All providers in Upper Arlngtn, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.