MEDICARE: RENEWED HOPE TREATMENT AND WELLNESS CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1801720271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED HOPE TREATMENT AND WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	7855 KINGS BENCH PL
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-6303
Country	:	US
Telephone Number	:	443-495-9766
Fax Number	:

Provider Business Practice Location Address
First Line	:	7855 KINGS BENCH PL
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-6303
Country	:	US
Telephone Number	:	443-495-9766
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	DANIELLE ALLEN
Credential	:	MSN, RN, PMHNP-BC
Telephone Number	:	443-495-9766

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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