Provider Demographics
NPI:1679320121
Name:RENEWED HOPE COUNSELING, LLC
Entity type:Organization
Organization Name:RENEWED HOPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LIMA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-905-2932
Mailing Address - Street 1:416 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-2810
Mailing Address - Country:US
Mailing Address - Phone:530-905-2932
Mailing Address - Fax:
Practice Address - Street 1:409 W CENTER ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-2809
Practice Address - Country:US
Practice Address - Phone:530-905-2932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health