| Redeemed Spirit Llc | |
|
90 State St Ste Office40 Albany NY 12207-1716 | |
| (518) 217-8439 | |
| Not Available |
| Full Name | Redeemed Spirit Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 90 State St Ste Office40, Albany, New York |
| Authorized Official Name and Position | Anthony Feliciano Lopez (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5182178439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redeemed Spirit Llc 90 State St Ste Office40 Albany NY 12207-1716 Ph: (518) 217-8439 | Redeemed Spirit Llc 90 State St Ste Office40 Albany NY 12207-1716 Ph: (518) 217-8439 |
| NPI Number | 1740957554 |
|---|---|
| Provider Enumeration Date | 08/28/2021 |
| Last Update Date | 08/28/2021 |
| Certification Date | 08/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740957554 | NPI | - | NPPES |
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