| Rekindled Hope, Pllc | |
|
702 Johnson St Ste 104 Big Spring TX 79720-2820 | |
| (432) 466-7696 | |
| Not Available |
| Full Name | Rekindled Hope, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 702 Johnson St Ste 104, Big Spring, Texas |
| Authorized Official Name and Position | Jan Shaw (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 4324661696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rekindled Hope, Pllc 702 Johnson St Ste 104 Big Spring TX 79720-2820 Ph: (432) 466-7696 | Rekindled Hope, Pllc 702 Johnson St Ste 104 Big Spring TX 79720-2820 Ph: (432) 466-7696 |
| NPI Number | 1013785443 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013785443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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