Organization Active NPI

Hope and Healing Behavioral Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1700459088
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOPE AND HEALING BEHAVIORAL HEALTH, PLLC
Practice address
200 Valencia Dr Ste 134
Jacksonville, NC 28546-6313
Phone
(910) 939-5247
Fax
(910) 353-4310
NPI assigned
Jul 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Judylyn Hobson, NP
Title
Pmhnp-BC
Phone
(843) 305-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

200 Valencia Dr Ste 134
Jacksonville, NC 28546-6313

Mailing address

200 Valencia Dr Ste 134
Jacksonville, NC 28546-6313
Phone (910) 939-5247

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1700459088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR STE 134",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466313",
            "telephone_number": "910-939-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR STE 134",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466313",
            "telephone_number": "910-939-5247",
            "fax_number": "910-353-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AND HEALING BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "JUDYLYN",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "843-305-2005",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.