| Renewing Your Mind Therapy Pllc | |
|
808 S Main St Ste C Columbia IL 62236-2499 | |
| (618) 327-7130 | |
| (888) 690-4813 |
| Full Name | Renewing Your Mind Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 808 S Main St Ste C, Columbia, Illinois |
| Authorized Official Name and Position | Carol Ann Worthington (THERAPIST) |
| Authorized Official Contact | 6183277130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Your Mind Therapy Pllc 808 S Main St Ste C Columbia IL 62236-2499 Ph: (618) 327-7130 | Renewing Your Mind Therapy Pllc 808 S Main St Ste C Columbia IL 62236-2499 Ph: (618) 327-7130 |
| NPI Number | 1780445015 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780445015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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