| Renewed Life Christian Counseling Center Inc | |
|
3135 Summit Bridge Rd Bear DE 19701-2001 | |
| (302) 464-0515 | |
| (302) 454-7274 |
| Full Name | Renewed Life Christian Counseling Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3135 Summit Bridge Rd, Bear, Delaware |
| Authorized Official Name and Position | Grant R Hasty (CEO/PRESIDENT) |
| Authorized Official Contact | 3024640515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Life Christian Counseling Center Inc 34 Dalton Dr Newark DE 19702-2059 Ph: (302) 464-0515 | Renewed Life Christian Counseling Center Inc 3135 Summit Bridge Rd Bear DE 19701-2001 Ph: (302) 464-0515 |
| NPI Number | 1598039794 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/06/2012 |
| Medicare PECOS PAC ID | 6901066000 |
|---|---|
| Medicare Enrollment ID | O20120328000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598039794 | NPI | - | NPPES |
| 1972520534 | Medicaid | DE | |
| 1000035733 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 103TP2701X (Delaware) | Primary |
| Provider Name | Grant R Hasty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053509737 PECOS PAC ID: 9739258724 Enrollment ID: I20080516000235 |
| Provider Name | Ruth A Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972898641 PECOS PAC ID: 8022288372 Enrollment ID: I20110824000774 |
Caring From The Heart Adult Programs And Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Gullane Ln, Bear, DE 19701 Phone: 302-479-0111 | |
Sanamente: A Center For Growth Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 Pulaski Hwy, Bear, DE 19701 Phone: 302-561-5773 | |
Gerizim Psychiatric Care Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 729 Ellen Dr, Bear, DE 19701 Phone: 302-981-2529 | |
Acute General Medical Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1545 Pulaski Hwy, Bear, DE 19701 Phone: 866-389-2727 | |
Acute General Medical Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Pulaski Hwy, Bear, DE 19701 Phone: 866-389-2727 | |
Behavioral Health Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Rathlin Ln, Bear, DE 19701 Phone: 302-661-2790 | |
Hattie's House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1158 Bear Corbitt Rd, Bear, DE 19701 Phone: 302-836-4000 Fax: 302-836-3222 |