| Life Renewal Counseling Llc | |
|
3000 County Road 42 W Ste 210 Burnsville MN 55337-4827 | |
| (952) 500-9502 | |
| (952) 303-4692 |
| Full Name | Life Renewal Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3000 County Road 42 W Ste 210, Burnsville, Minnesota |
| Authorized Official Name and Position | Sheila Jean Marker (OWNER) |
| Authorized Official Contact | 9525009502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Renewal Counseling Llc 3000 County Road 42 W Ste 210 Burnsville MN 55337-4826 Ph: (952) 500-9502 | Life Renewal Counseling Llc 3000 County Road 42 W Ste 210 Burnsville MN 55337-4827 Ph: (952) 500-9502 |
| NPI Number | 1497252530 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 08/29/2020 |
| Certification Date | 08/29/2020 |
| Medicare PECOS PAC ID | 4082058193 |
|---|---|
| Medicare Enrollment ID | O20240216001899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497252530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1467 (Minnesota) | Primary |
| Provider Name | Sheila Jean Marker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639381585 PECOS PAC ID: 6800230913 Enrollment ID: I20240216002016 |
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