Lori Ann Renner, LICSW | |
29000 Us Highway 98 Ste A102, Daphne, AL 36526-7203 | |
(251) 626-5797 | |
(251) 626-5798 |
Full Name | Lori Ann Renner |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 29000 Us Highway 98 Ste A102, Daphne, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114561347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 4711C (Alabama) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | New South Psychiatry, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063913630 PECOS PAC ID: 8921357898 Enrollment ID: O20180827000942 |
Mailing Address | Practice Location Address |
---|---|
Lori Ann Renner, LICSW 108 Bienville Ave, Mobile, AL 36606-1407 Ph: (251) 586-5253 | Lori Ann Renner, LICSW 29000 Us Highway 98 Ste A102, Daphne, AL 36526-7203 Ph: (251) 626-5797 |
Amy Conway, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7400 Roper Ln, Daphne, AL 36526 Phone: 251-378-6500 Fax: 251-378-6560 | |
Camille Brown, MS, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 B Villa Drive, Suite 203, Daphne, AL 36526 Phone: 251-222-8880 | |
Ms. Sydney Alexandria Wasdin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8851 Rand Ave Ste B, Daphne, AL 36526 Phone: 251-583-6321 | |
Lisa Mcmanus, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27625 Us Highway 98, Bldg. A, Daphne, AL 36526 Phone: 251-626-7959 | |
Cheryl Bray Bray, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2401 Main Street, Daphne, AL 36526 Phone: 251-404-6929 Fax: 251-626-7728 | |
Dr. Jack E Camilleri, ED.D.,LPC & LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 28311 N Main St, Suite 100, Daphne, AL 36526 Phone: 251-625-1480 Fax: 251-625-1482 | |
Mrs. Jedidah Wangondu, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 Main St, Daphne, AL 36526 Phone: 251-621-5360 Fax: 251-621-5361 |