| Renewed Life Therapeutic & Supportive Services | |
|
3482 Nc Highway 33 W Ste B Greenville NC 27834-4813 | |
| (252) 495-2582 | |
| Not Available |
| Full Name | Renewed Life Therapeutic & Supportive Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3482 Nc Highway 33 W Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Shamesa Teel (OWNER/THERAPIST) |
| Authorized Official Contact | 2525310179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Life Therapeutic & Supportive Services 3482 Nc Highway 33 W Ste B Greenville NC 27834-4813 Ph: (252) 495-2582 | Renewed Life Therapeutic & Supportive Services 3482 Nc Highway 33 W Ste B Greenville NC 27834-4813 Ph: (252) 495-2582 |
| NPI Number | 1326868159 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326868159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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