Organization
RENEWED HOPE WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA BULLIE-THOMPSON DNP (FNP-C, PMHNP-BC)
(601) 345-3700
Entity
Organization
Contact information
Practice address
200 SAINT PAUL ST, PEARL, MS 39208-5134
(601) 345-3700
(601) 345-3750
Mailing address
4209 LAKELAND DR # 378, FLOWOOD, MS 39232-9212
(601) 209-3300
(601) 401-4326
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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