| Renewed Hope Counseling Llc | |
|
7935 E 57th St Tulsa OK 74145-8622 | |
| (918) 268-6379 | |
| (918) 992-2621 |
| Full Name | Renewed Hope Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7935 E 57th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jessica Rae Ngotngamwong (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9182686379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Hope Counseling Llc 7935 E 57th St Tulsa OK 74145-8622 Ph: (918) 268-6379 | Renewed Hope Counseling Llc 7935 E 57th St Tulsa OK 74145-8622 Ph: (918) 268-6379 |
| NPI Number | 1366076341 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Medicare PECOS PAC ID | 6507376613 |
|---|---|
| Medicare Enrollment ID | O20250609001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366076341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Rae Ngotngamwong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861630600 PECOS PAC ID: 9234480724 Enrollment ID: I20210804002274 |
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