| Renewed Thinking Therapy Pllc | |
|
3657 E Hampton Cir Alva FL 33920-4690 | |
| (239) 834-2681 | |
| Not Available |
| Full Name | Renewed Thinking Therapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3657 E Hampton Cir, Alva, Florida |
| Authorized Official Name and Position | Mercy Betts (OWNER) |
| Authorized Official Contact | 2398342681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Thinking Therapy Pllc 3657 E Hampton Cir Alva FL 33920-4690 Ph: (239) 834-2681 | Renewed Thinking Therapy Pllc 3657 E Hampton Cir Alva FL 33920-4690 Ph: (239) 834-2681 |
| NPI Number | 1245916667 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 4385005982 |
|---|---|
| Medicare Enrollment ID | O20230728003055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245916667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mercy Lee Betts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760089833 PECOS PAC ID: 5294196895 Enrollment ID: I20230728003222 |
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