Provider Demographics
NPI:1851787949
Name:RENEWED HOPE COUNSELING, LLC
Entity Type:Organization
Organization Name:RENEWED HOPE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:HAGY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-376-2793
Mailing Address - Street 1:110 CALVARY HOME CIR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1002
Mailing Address - Country:US
Mailing Address - Phone:864-376-2793
Mailing Address - Fax:
Practice Address - Street 1:110 CALVARY HOME CIR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1002
Practice Address - Country:US
Practice Address - Phone:864-376-2793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPC 4041101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty