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General NPI Number Information
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NPI Number | 1902770985
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Entity Type | Organization
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Legal Business Name | HOPE RENEWED BEHAVIORAL HEALTHCARE LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 13509 LYNDON B JOHNSON FWY
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City | GARLAND
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State | TX
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Zip | 75041-4704
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Country | US
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Telephone | 501-249-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 3019 DEERHOLLOW DR
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City | MESQUITE
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State | TX
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Zip | 75181-3663
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Country | US
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Telephone | 501-249-9401
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AYIKA HATTEN
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Credential |
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Telephone | 501-249-9401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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