Provider Demographics
NPI:1861269078
Name:HOPE AND RENEWAL COUNSELING LLC
Entity type:Organization
Organization Name:HOPE AND RENEWAL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-664-0168
Mailing Address - Street 1:PO BOX 361
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:OR
Mailing Address - Zip Code:97134-0361
Mailing Address - Country:US
Mailing Address - Phone:971-727-6488
Mailing Address - Fax:
Practice Address - Street 1:5455 DAISY STREET
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:OR
Practice Address - Zip Code:97134-0361
Practice Address - Country:US
Practice Address - Phone:503-664-0168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty