Provider Demographics
NPI:1861173940
Name:RECLAIMING HOPE
Entity type:Organization
Organization Name:RECLAIMING HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PASTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:LASWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PASTOR/COUNSELOR
Authorized Official - Phone:636-385-2836
Mailing Address - Street 1:702 GRAY MIST TERRACE
Mailing Address - Street 2:
Mailing Address - City:LAKE SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-1413
Mailing Address - Country:US
Mailing Address - Phone:636-248-9644
Mailing Address - Fax:
Practice Address - Street 1:8676 ORF RD.
Practice Address - Street 2:
Practice Address - City:LAKE SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63367-4286
Practice Address - Country:US
Practice Address - Phone:636-248-9644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health