Renew Counseling Consulting And Wellness Services Llc | |
371 Hoes Ln Ste 200 Piscataway NJ 08854-4143 | |
(732) 588-8740 | |
(855) 240-7470 |
Full Name | Renew Counseling Consulting And Wellness Services Llc |
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Speciality | Clinic/Center |
Location | 371 Hoes Ln Ste 200, Piscataway, New Jersey |
Authorized Official Name and Position | Jennifer Mcclendon (OWNER/PROVIDER) |
Authorized Official Contact | 7325888740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Renew Counseling Consulting And Wellness Services Llc Po Box 753 Piscataway NJ 08855-0753 Ph: (732) 588-8740 | Renew Counseling Consulting And Wellness Services Llc 371 Hoes Ln Ste 200 Piscataway NJ 08854-4143 Ph: (732) 588-8740 |
NPI Number | 1447751284 |
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Provider Enumeration Date | 02/27/2018 |
Last Update Date | 01/02/2024 |
Certification Date | 01/27/2022 |
Medicare PECOS PAC ID | 9335598770 |
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Medicare Enrollment ID | O20231212000186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447751284 | NPI | - | NPPES |
0721557 | Medicaid | NJ |
Provider Name | Jennifer Mcclendon |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1760880413 PECOS PAC ID: 6507215944 Enrollment ID: I20231220002792 |
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