| Renewed Life Llc | |
|
115 W H St Ste 151 Russellville AR 72801-3426 | |
| (479) 970-6454 | |
| Not Available |
| Full Name | Renewed Life Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 115 W H St Ste 151, Russellville, Arkansas |
| Authorized Official Name and Position | Linda Jo Bankston (OWNER) |
| Authorized Official Contact | 4799706454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Life Llc 115 W H St Ste 151 Russellville AR 72801-3426 Ph: (479) 970-6454 | Renewed Life Llc 115 W H St Ste 151 Russellville AR 72801-3426 Ph: (479) 970-6454 |
| NPI Number | 1629816269 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629816269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Inhope Counseling Services Company Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1305 E Main St, Russellville, AR 72801 Phone: 479-393-9866 Fax: 479-358-1464 | |
Counseling Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E 16th St, Russellville, AR 72802 Phone: 479-967-1397 Fax: 479-890-5632 | |
A Gentle Journey Corportation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E 4th St, Russellville, AR 72801 Phone: 479-223-0326 | |
Tracy Tullos Southern Therapy Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Suite 2, Russellville, AR 72801 Phone: 479-576-2799 |