| Renewed Pathways, Llc | |
|
117 E Center St Manchester CT 06040-5246 | |
| (860) 372-0752 | |
| Not Available |
| Full Name | Renewed Pathways, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 117 E Center St, Manchester, Connecticut |
| Authorized Official Name and Position | Jessica Leah Ware (CLINICIAN) |
| Authorized Official Contact | 4132505995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Pathways, Llc 200 John Olds Dr Apt 203 Manchester CT 06042-8809 Ph: (413) 250-5995 | Renewed Pathways, Llc 117 E Center St Manchester CT 06040-5246 Ph: (860) 372-0752 |
| NPI Number | 1639830334 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639830334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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