Organization
RENEW HOPE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE JEAN ROTH LMFT (OWNER/THERAPIST)
(260) 463-6915
Entity
Organization
Contact information
Practice address
5460 N 450 W, SHIPSHEWANA, IN 46565-8504
(260) 463-6915
Mailing address
PO BOX 292, LAGRANGE, IN 46761-0292
(260) 463-6915
(260) 499-4158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35001635A
IN
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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