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General NPI Number Information
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NPI Number | 1558948893
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Entity Type | Organization
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Legal Business Name | RENEWED HOPE HEALTH & WELLNESS CENTER
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 10224 ANGELS LOFT ST
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City | LAS VEGAS
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State | NV
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Zip | 89131-1541
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Country | US
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Telephone | 702-907-6065
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Fax |
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Provider Business Mailing Address
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Address Line | 8461 FARM RD STE 120-184
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City | LAS VEGAS
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State | NV
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Zip | 89131-8305
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Country | US
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Telephone | 702-907-6065
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. JESSICA MARIE PIERCE
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Credential | LCSW
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Telephone | 702-907-6065
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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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