=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275481038
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RENEWED HOPE AND WELLNESS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2026
-----------------------------------------------------
Last Update Date | 03/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14013 HEARTLAND DR
-----------------------------------------------------
City | MANOR
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78653-2697
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 737-234-6591
-----------------------------------------------------
Fax | 512-937-1208
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 305 N HEATHERWILDE BLVD STE 320 PMB 1133
-----------------------------------------------------
City | PFLUGERVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78660-4195
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 737-234-6591
-----------------------------------------------------
Fax | 512-937-1208
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PMHNP/OWNER
-----------------------------------------------------
Name | MRS. LASHONDRA KALE
-----------------------------------------------------
Credential | PMHNP-BC
-----------------------------------------------------
Telephone | 737-234-6591
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------