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General NPI Number Information
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NPI Number | 1477457083
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Entity Type | Organization
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Legal Business Name | HOPE RENEWED COUNSELING LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 120 CAMP ST STE B
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City | LOGANVILLE
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State | GA
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Zip | 30052-3284
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Country | US
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Telephone | 678-539-8761
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2404
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City | LOGANVILLE
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State | GA
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Zip | 30052-0056
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Country | US
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Telephone | 678-539-8761
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YERINA KNOBLOCK
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Credential | LMFT
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Telephone | 949-289-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | NULL
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