| Renewing Hope Llc | |
|
2896 N Expressway Ste A Griffin GA 30223-7254 | |
| (470) 771-8182 | |
| Not Available |
| Full Name | Renewing Hope Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2896 N Expressway Ste A, Griffin, Georgia |
| Authorized Official Name and Position | Sharon Gilmore Gilmore (OWNER / THERAPIST) |
| Authorized Official Contact | 4707718182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Hope Llc 2896 N Expressway Ste A Griffin GA 30223-7254 Ph: (470) 771-8182 | Renewing Hope Llc 2896 N Expressway Ste A Griffin GA 30223-7254 Ph: (470) 771-8182 |
| NPI Number | 1093262503 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Medicare PECOS PAC ID | 3375830573 |
|---|---|
| Medicare Enrollment ID | O20160930001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093262503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW005533 (Georgia) | Primary |
| Provider Name | Sharon Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184074023 PECOS PAC ID: 4284921487 Enrollment ID: I20160930001574 |
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