RENEWED HOPE COUNSELING LLC NPI 1861893661

NPI Information

NPI: 1861893661
Provider Name: RENEWED HOPE COUNSELING, LLC

Doing Business As: RENEWED HOPE COUNSELING AND WELLNESS

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1550 N CRESTMONT DR
STE E
MERIDIAN, ID
ZIP 83642
Phone: (208) 288-4200
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RENEWED HOPE COUNSELING, LLC is a psychiatric/mental health nurse practitioner in Meridian, ID. RENEWED HOPE COUNSELING, LLC NPI is 1861893661. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renewed Hope Counseling And Wellness.

The provider's business location address is:

1550 N CRESTMONT DR
STE E
MERIDIAN, ID
ZIP 83642-184
Phone: (208) 288-4200
Fax: (208) 288-4279

The provider's authorized official is Deborah Ann Rush .
The authorized official title is Prescriber/medical Director and has the following contact phone number (208) 288-4200.

The enumeration date for this NPI number is 9/11/2014 and was last updated on 4/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103TC1900X	Psychologist	Counseling	No
3	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	No
4	1041C0700X	Social Worker	Clinical	No
5	106H00000X	Marriage & Family Therapist		No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1861893661	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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