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General NPI Number Information
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NPI Number | 1487369666
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Entity Type | Organization
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Legal Business Name | RENEWED HOPE COUNSELING, LLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 32 TACON ST STE C
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City | MOBILE
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State | AL
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Zip | 36607-3138
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Country | US
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Telephone | 251-289-1392
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Fax |
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Provider Business Mailing Address
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Address Line | 13596 COUNTY ROAD 66
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City | LOXLEY
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State | AL
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Zip | 36551-4100
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Country | US
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Telephone | 251-447-3349
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KAYLA NICOLE WHISNANT
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Credential | LMFT
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Telephone | 251-447-3349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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