Healthcare Provider Details

I. General information

NPI: 1750005278
Provider Name (Legal Business Name): RENEWING HOPE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4085 MIDDLETON LOOP APT 203
DUMFRIES VA
22025-2107
US

IV. Provider business mailing address

4085 MIDDLETON LOOP APT 203
DUMFRIES VA
22025-2107
US

V. Phone/Fax

Practice location:
  • Phone: 804-536-7232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TANYKA ABBOTT
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 804-536-7232