| Renewing Mental Health, Llc | |
|
719 S Main St Joplin MO 64801-4501 | |
| (417) 850-9545 | |
| (888) 977-3363 |
| Full Name | Renewing Mental Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 719 S Main St, Joplin, Missouri |
| Authorized Official Name and Position | Karen Christine Scott (OWNER) |
| Authorized Official Contact | 4178509545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Mental Health, Llc 719 S Main St Joplin MO 64801-4501 Ph: (417) 850-9545 | Renewing Mental Health, Llc 719 S Main St Joplin MO 64801-4501 Ph: (417) 850-9545 |
| NPI Number | 1174218713 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 6709321987 |
|---|---|
| Medicare Enrollment ID | O20240711003302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174218713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Angela Jean Fenske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326270257 PECOS PAC ID: 6800192642 Enrollment ID: I20160304000767 |
| Provider Name | Karen Christine Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467531749 PECOS PAC ID: 7517402795 Enrollment ID: I20240711003395 |
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