| Renovare Counseling, Llc | |
|
6650 W Indiantown Rd Ste 200-56 Jupiter FL 33458-4628 | |
| (561) 223-1707 | |
| Not Available |
| Full Name | Renovare Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6650 W Indiantown Rd Ste 200-56, Jupiter, Florida |
| Authorized Official Name and Position | Jonathan Rapp (PSYCHOLOGIST) |
| Authorized Official Contact | 5612231707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovare Counseling, Llc 18439 Lake Bend Dr Jupiter FL 33458-3812 Ph: () - | Renovare Counseling, Llc 6650 W Indiantown Rd Ste 200-56 Jupiter FL 33458-4628 Ph: (561) 223-1707 |
| NPI Number | 1194297903 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 3971834490 |
|---|---|
| Medicare Enrollment ID | O20191015002456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194297903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jonathan D Rapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780793505 PECOS PAC ID: 5395849368 Enrollment ID: I20191015003418 |
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