Organization
RENEWED HOPE FOR MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WADE MOORE CPS (PARTNER/CERTIFIED PEER SPECIALIST)
(636) 344-6572
Entity
Organization
Contact information
Practice address
5 W PEARCE BLVD, WENTZVILLE, MO 63385-1415
(636) 344-6572
Mailing address
312 PLEASANT MEADOWS DR, WENTZVILLE, MO 63385-2672
(314) 363-1921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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