| Renewed Mental Health, Llc | |
|
623 S Seminary St Ste 112 Florence AL 35630-5618 | |
| (256) 577-3966 | |
| Not Available |
| Full Name | Renewed Mental Health, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 623 S Seminary St Ste 112, Florence, Alabama |
| Authorized Official Name and Position | Allison Smalley (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2565773966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Mental Health, Llc 536 County Road 122 Florence AL 35634-3594 Ph: (256) 577-3966 | Renewed Mental Health, Llc 623 S Seminary St Ste 112 Florence AL 35630-5618 Ph: (256) 577-3966 |
| NPI Number | 1154023992 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Medicare PECOS PAC ID | 8729437413 |
|---|---|
| Medicare Enrollment ID | O20231206002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154023992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allison B Smalley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700427119 PECOS PAC ID: 6800229162 Enrollment ID: I20191127002618 |
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