| Renewed Journey, Llc | |
|
5510 Cherokee Ave Ste 300 Alexandria VA 22312-2320 | |
| (571) 285-0037 | |
| Not Available |
| Full Name | Renewed Journey, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5510 Cherokee Ave Ste 300, Alexandria, Virginia |
| Authorized Official Name and Position | Dominique Danquah (OWNER) |
| Authorized Official Contact | 5712850037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Journey, Llc 2667 Helmsman Ln Woodbridge VA 22191-6040 Ph: (571) 285-0037 | Renewed Journey, Llc 5510 Cherokee Ave Ste 300 Alexandria VA 22312-2320 Ph: (571) 285-0037 |
| NPI Number | 1124741079 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124741079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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