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General NPI Number Information
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NPI Number | 1659036440
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Entity Type | Organization
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Legal Business Name | RENEWED HOPES COUNSELING, LLC
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 3 PARK PLZ STE 106
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City | WYOMISSING
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State | PA
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Zip | 19610-1399
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Country | US
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Telephone | 484-289-2461
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Fax |
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Provider Business Mailing Address
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Address Line | 130 MATTHEW DR
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City | SINKING SPRING
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State | PA
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Zip | 19608-9415
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Country | US
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Telephone | 484-289-2461
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | INA L. GOULD
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Credential | MS, MED
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Telephone | 484-289-2461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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