| Renaissance Counseling Center,llc | |
|
1210 Guthrie St Fort Wayne IN 46802 | |
| (260) 267-8229 | |
| Not Available |
| Full Name | Renaissance Counseling Center,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1210 Guthrie St, Fort Wayne, Indiana |
| Authorized Official Name and Position | Denise Marie Snyder (PRESIDENT/THERAPIST) |
| Authorized Official Contact | 2062227177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Counseling Center,llc 5651 Coventry Ln Ste 180 Fort Wayne IN 46804-7145 Ph: (260) 267-8229 | Renaissance Counseling Center,llc 1210 Guthrie St Fort Wayne IN 46802 Ph: (260) 267-8229 |
| NPI Number | 1568084416 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/14/2020 |
| Certification Date | 05/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568084416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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