Provider Demographics
NPI:1578258844
Name:RENEWED HOPE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:RENEWED HOPE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PAPKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:574-228-4273
Mailing Address - Street 1:3024 22ND ST NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-2391
Mailing Address - Country:US
Mailing Address - Phone:574-228-4273
Mailing Address - Fax:574-203-9345
Practice Address - Street 1:3024 22ND ST NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-2391
Practice Address - Country:US
Practice Address - Phone:574-228-4273
Practice Address - Fax:574-203-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty