| Anew Life Counseling And Consulting Group, Llc | |
|
1266 Cedar Center Dr Tallahassee FL 32301-4876 | |
| (850) 508-4624 | |
| Not Available |
| Full Name | Anew Life Counseling And Consulting Group, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1266 Cedar Center Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Drake H Gunning (OWNER) |
| Authorized Official Contact | 8505084624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Life Counseling And Consulting Group, Llc 1266 Cedar Center Dr Tallahassee FL 32301-4876 Ph: (850) 508-4624 | Anew Life Counseling And Consulting Group, Llc 1266 Cedar Center Dr Tallahassee FL 32301-4876 Ph: (850) 508-4624 |
| NPI Number | 1104469618 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 6608205422 |
|---|---|
| Medicare Enrollment ID | O20200331000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104469618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Drake H Gunning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629406533 PECOS PAC ID: 7113289455 Enrollment ID: I20180326000981 |
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