Provider Demographics
NPI:1821980012
Name:RENEWED HOPE LLC
Entity type:Organization
Organization Name:RENEWED HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLIBRI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:608-622-7099
Mailing Address - Street 1:PO BOX 6093
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-0093
Mailing Address - Country:US
Mailing Address - Phone:608-622-7099
Mailing Address - Fax:
Practice Address - Street 1:1309 TOMPKINS DR UNIT D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53716-3280
Practice Address - Country:US
Practice Address - Phone:608-622-7099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health