Provider Demographics
NPI:1487482220
Name:RAE OF HOPE, PLLC
Entity type:Organization
Organization Name:RAE OF HOPE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMBURG
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:903-476-3585
Mailing Address - Street 1:1100 STONE RD STE 246
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75662-5495
Mailing Address - Country:US
Mailing Address - Phone:903-476-3585
Mailing Address - Fax:903-213-9171
Practice Address - Street 1:1100 STONE RD STE 246
Practice Address - Street 2:
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75662-5495
Practice Address - Country:US
Practice Address - Phone:903-476-3585
Practice Address - Fax:903-213-9171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty