| Renewed Blossom Counseling, Llc | |
|
309 Daralyn Dr Houma LA 70363-8071 | |
| (985) 870-7590 | |
| Not Available |
| Full Name | Renewed Blossom Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 309 Daralyn Dr, Houma, Louisiana |
| Authorized Official Name and Position | Cierra Johnson (OWNER) |
| Authorized Official Contact | 9858707590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Blossom Counseling, Llc 309 Daralyn Dr Houma LA 70363-8071 Ph: (985) 870-7590 | Renewed Blossom Counseling, Llc 309 Daralyn Dr Houma LA 70363-8071 Ph: (985) 870-7590 |
| NPI Number | 1275386237 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275386237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Kelly Liner Derouen, Lpc-s, Lmft, Ncc, Ncsc, Supervisor Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 547 Bayou Dularge Road, Houma, LA 70363 Phone: 985-876-5748 | |
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