| Renewed Life Therapy Llc | |
|
5 Tsienneto Rd Unit 85 Derry NH 03038-1552 | |
| (508) 556-7067 | |
| Not Available |
| Full Name | Renewed Life Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5 Tsienneto Rd Unit 85, Derry, New Hampshire |
| Authorized Official Name and Position | Caitlyn Mastromarino (OWNER) |
| Authorized Official Contact | 5087360061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Life Therapy Llc 5 Tsienneto Rd Unit 85 Derry NH 03038-1552 Ph: (508) 556-7067 | Renewed Life Therapy Llc 5 Tsienneto Rd Unit 85 Derry NH 03038-1552 Ph: (508) 556-7067 |
| NPI Number | 1407681901 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407681901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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