Provider Demographics
NPI:1871359471
Name:RENEWED HOPE BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:RENEWED HOPE BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:QMHP-A
Authorized Official - Phone:804-894-4789
Mailing Address - Street 1:24 CENTRE HILL CT
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-3358
Mailing Address - Country:US
Mailing Address - Phone:804-894-4789
Mailing Address - Fax:
Practice Address - Street 1:24 CENTRE HILL CT
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-3358
Practice Address - Country:US
Practice Address - Phone:804-894-4789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health