Renewed Brain Health Llc | |
122 High St Mineral Point WI 53565-1287 | |
(608) 778-6833 | |
(608) 305-8956 |
Full Name | Renewed Brain Health Llc |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 122 High St, Mineral Point, Wisconsin |
Authorized Official Name and Position | Cecelia Greenwood (OWNER) |
Authorized Official Contact | 6087786833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Renewed Brain Health Llc 122 High St Mineral Point WI 53565-1287 Ph: (608) 778-6833 | Renewed Brain Health Llc 122 High St Mineral Point WI 53565-1287 Ph: (608) 778-6833 |
NPI Number | 1790515765 |
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Provider Enumeration Date | 08/05/2024 |
Last Update Date | 08/05/2024 |
Certification Date | 08/05/2024 |
Identifier | Type | State | Issuer |
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1790515765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |