| Renewal Centers Inc | |
|
6700 N Oracle Rd Ste 505 Tucson AZ 85704-7736 | |
| (520) 791-9974 | |
| (520) 791-0676 |
| Full Name | Renewal Centers Inc |
|---|---|
| Speciality | Counselor |
| Location | 6700 N Oracle Rd Ste 505, Tucson, Arizona |
| Authorized Official Name and Position | Rhonda Porro (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5207919974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Centers Inc Po Box 35762 Tucson AZ 85740-5762 Ph: (520) 791-9974 | Renewal Centers Inc 6700 N Oracle Rd Ste 505 Tucson AZ 85704-7736 Ph: (520) 791-9974 |
| NPI Number | 1336265743 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/21/2012 |
| Medicare PECOS PAC ID | 0143356139 |
|---|---|
| Medicare Enrollment ID | O20100329001197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336265743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | LPC10653 (Arizona) | Primary |
| Provider Name | Holly Brown-sisson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609036508 PECOS PAC ID: 9436203122 Enrollment ID: I20241206000748 |
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