Provider Demographics
NPI:1780337444
Name:REDEFINING HOPE CLINICAL COUNSELING SERVICE PLLC
Entity type:Organization
Organization Name:REDEFINING HOPE CLINICAL COUNSELING SERVICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CADC
Authorized Official - Phone:630-426-9279
Mailing Address - Street 1:477 E BUTTERFIELD RD STE 310-5
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5618
Mailing Address - Country:US
Mailing Address - Phone:630-426-9279
Mailing Address - Fax:
Practice Address - Street 1:477 E BUTTERFIELD RD STE 310-5
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5618
Practice Address - Country:US
Practice Address - Phone:630-426-9279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty