| Pax Renuevo Counseling Center Inc. | |
|
290 Competition Dr Kissimmee FL 34743-8426 | |
| (407) 870-0083 | |
| Not Available |
| Full Name | Pax Renuevo Counseling Center Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 290 Competition Dr, Kissimmee, Florida |
| Authorized Official Name and Position | Gina Lopez (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 4078700083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pax Renuevo Counseling Center Inc. 2408 Stoney Way Apt. D Kissimmee FL 34744-5909 Ph: (321) 948-9907 | Pax Renuevo Counseling Center Inc. 290 Competition Dr Kissimmee FL 34743-8426 Ph: (407) 870-0083 |
| NPI Number | 1841678711 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841678711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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