Healthcare Provider Details

I. General information

NPI: 1033894449
Provider Name (Legal Business Name): RENEWING HOPE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 ROBIN HOOD DR
YOUNGSTOWN OH
44511-3638
US

IV. Provider business mailing address

144 ROBIN HOOD DR
YOUNGSTOWN OH
44511-3638
US

V. Phone/Fax

Practice location:
  • Phone: 330-502-0712
  • Fax:
Mailing address:
  • Phone: 330-502-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KELSEY DEMART
Title or Position: LPCC
Credential: LPCC
Phone: 330-502-0712