Provider Demographics
NPI:1134420797
Name:RENEWED HOPE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:RENEWED HOPE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/GROUP OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC NCC
Authorized Official - Phone:504-884-4880
Mailing Address - Street 1:6044 MILNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1926
Mailing Address - Country:US
Mailing Address - Phone:504-884-4880
Mailing Address - Fax:888-741-7927
Practice Address - Street 1:3900 N CAUSEWAY BLVD
Practice Address - Street 2:SUITE 1200
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1746
Practice Address - Country:US
Practice Address - Phone:504-884-4880
Practice Address - Fax:888-741-7927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty