Renewed Hope Counseling Pllc | |
40 Main Ave Logan WV 25601-3331 | |
(910) 616-9197 | |
(702) 920-8893 |
Full Name | Renewed Hope Counseling Pllc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 40 Main Ave, Logan, West Virginia |
Authorized Official Name and Position | Sandra Maynard (PROVIDER) |
Authorized Official Contact | 9106169197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renewed Hope Counseling Pllc 40 Main Ave Logan WV 25601-3331 Ph: (910) 616-9197 | Renewed Hope Counseling Pllc 40 Main Ave Logan WV 25601-3331 Ph: (910) 616-9197 |
NPI Number | 1245091925 |
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Provider Enumeration Date | 01/19/2024 |
Last Update Date | 01/19/2024 |
Certification Date | 01/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245091925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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