Healthcare Provider Details

I. General information

NPI: 1801720271
Provider Name (Legal Business Name): RENEWED HOPE TREATMENT AND WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 KINGS BENCH PL
PASADENA MD
21122-6303
US

IV. Provider business mailing address

7855 KINGS BENCH PL
PASADENA MD
21122-6303
US

V. Phone/Fax

Practice location:
  • Phone: 443-495-9766
  • Fax:
Mailing address:
  • Phone: 443-495-9766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE ALLEN
Title or Position: PMHNP
Credential: MSN, RN, PMHNP-BC
Phone: 443-495-9766