| Renewed Life Therapy | |
|
1515 E Silver Springs Blvd # 147-2 Ocala FL 34470-6831 | |
| (352) 875-3029 | |
| (352) 877-2493 |
| Full Name | Renewed Life Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 E Silver Springs Blvd # 147-2, Ocala, Florida |
| Authorized Official Name and Position | Kimberly A Sindy (OWNER) |
| Authorized Official Contact | 3528753029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Life Therapy 4572 Sw 44th Ct Ocala FL 34474-4345 Ph: (352) 875-3029 | Renewed Life Therapy 1515 E Silver Springs Blvd # 147-2 Ocala FL 34470-6831 Ph: (352) 875-3029 |
| NPI Number | 1043987266 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/03/2021 |
| Medicare PECOS PAC ID | 8527464791 |
|---|---|
| Medicare Enrollment ID | O20210914001239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043987266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Ann Sindy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174037816 PECOS PAC ID: 4880935618 Enrollment ID: I20190404001725 |
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