| Renewed Image Youth & Family Services, Llc | |
|
15 Broad St Sumter SC 29150-4224 | |
| (803) 902-5929 | |
| Not Available |
| Full Name | Renewed Image Youth & Family Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Broad St, Sumter, South Carolina |
| Authorized Official Name and Position | Shaniqua Lesesne (OWNER/PRACTITIONER) |
| Authorized Official Contact | 8034606694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Image Youth & Family Services, Llc 15 Broad St Sumter SC 29150-4224 Ph: (803) 902-5929 | Renewed Image Youth & Family Services, Llc 15 Broad St Sumter SC 29150-4224 Ph: (803) 902-5929 |
| NPI Number | 1962277541 |
|---|---|
| Provider Enumeration Date | 11/23/2023 |
| Last Update Date | 11/23/2023 |
| Certification Date | 11/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962277541 | NPI | - | NPPES |
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