| Mind Renewal Counseling & Coaching, Llc | |
|
224 Datura St Suite 407 West Palm Beach FL 33401-5624 | |
| (561) 366-9111 | |
| (561) 366-9119 |
| Full Name | Mind Renewal Counseling & Coaching, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 224 Datura St, West Palm Beach, Florida |
| Authorized Official Name and Position | Michelle A Foraker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5613669111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Renewal Counseling & Coaching, Llc 224 Datura St Suite 407 West Palm Beach FL 33401-5624 Ph: (561) 366-9111 | Mind Renewal Counseling & Coaching, Llc 224 Datura St Suite 407 West Palm Beach FL 33401-5624 Ph: (561) 366-9111 |
| NPI Number | 1043462757 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043462757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH7843 (Florida) | Primary |
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