| Renaissance Behavioral Health Services, Llc | |
|
1101 N Little School Rd Suite B Arlington TX 76017-1900 | |
| (817) 939-2376 | |
| (817) 478-4656 |
| Full Name | Renaissance Behavioral Health Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1101 N Little School Rd, Arlington, Texas |
| Authorized Official Name and Position | Angela D. Mitchell (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8179392376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Behavioral Health Services, Llc 1101 N Little School Rd Suite B Arlington TX 76017-1900 Ph: (817) 939-2376 | Renaissance Behavioral Health Services, Llc 1101 N Little School Rd Suite B Arlington TX 76017-1900 Ph: (817) 939-2376 |
| NPI Number | 1598089088 |
|---|---|
| Provider Enumeration Date | 03/26/2010 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598089088 | NPI | - | NPPES |
| 162269801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 32135 (Texas) | Primary |
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