Provider Demographics
NPI:1457719189
Name:RENEWED HOPE COUNSELING CENTERS
Entity Type:Organization
Organization Name:RENEWED HOPE COUNSELING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC, NCC
Authorized Official - Phone:304-785-7702
Mailing Address - Street 1:RR 2 BOX 980
Mailing Address - Street 2:
Mailing Address - City:OMAR
Mailing Address - State:WV
Mailing Address - Zip Code:25638-9707
Mailing Address - Country:US
Mailing Address - Phone:304-785-7702
Mailing Address - Fax:
Practice Address - Street 1:RR 2 BOX 980
Practice Address - Street 2:
Practice Address - City:OMAR
Practice Address - State:WV
Practice Address - Zip Code:25638-9707
Practice Address - Country:US
Practice Address - Phone:304-785-7702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV217251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health