Provider Demographics
NPI:1548626419
Name:RENEWING HEARTS FAMILY COUNSELING, LLC
Entity type:Organization
Organization Name:RENEWING HEARTS FAMILY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC, SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-772-2023
Mailing Address - Street 1:13895 HEDGEWOOD DR
Mailing Address - Street 2:SUITE 229
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-7924
Mailing Address - Country:US
Mailing Address - Phone:571-659-9961
Mailing Address - Fax:571-659-9964
Practice Address - Street 1:13895 HEDGEWOOD DR
Practice Address - Street 2:SUITE 229
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-7924
Practice Address - Country:US
Practice Address - Phone:571-659-9961
Practice Address - Fax:571-659-9964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003114251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health