Renewed Mind Enrichment Therapy & Community Services Network | |
5506 W Chestnut Ave, Apt 222 5506 W Chestnut Ave, Apt 222 Enid OK 73703 | |
(580) 231-1659 | |
(855) 629-7098 |
Full Name | Renewed Mind Enrichment Therapy & Community Services Network |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5506 W Chestnut Ave, Apt 222, Enid, Oklahoma |
Authorized Official Name and Position | Angela Michelle Jackson (OWNER & LICENSED PROFESSIONAL THERA) |
Authorized Official Contact | 5802311659 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Renewed Mind Enrichment Therapy & Community Services Network 5506 W Chestnut Ave, Apt 222 5506 W Chestnut Ave, Apt 222 Enid OK 73703 Ph: (580) 231-1659 | Renewed Mind Enrichment Therapy & Community Services Network 5506 W Chestnut Ave, Apt 222 5506 W Chestnut Ave, Apt 222 Enid OK 73703 Ph: (580) 231-1659 |
NPI Number | 1285388140 |
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Provider Enumeration Date | 02/09/2022 |
Last Update Date | 02/09/2022 |
Certification Date | 02/09/2022 |
Identifier | Type | State | Issuer |
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1285388140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Shamrock Counseling Services Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 W Broadway Ave, Suite 5, Enid, OK 73701 Phone: 580-540-2099 | |
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