| Revived And Renewed Mental Health, Llc | |
|
4400 Ambassador Caffery Pkwy Ste A167 Lafayette LA 70508-6760 | |
| (337) 450-0406 | |
| Not Available |
| Full Name | Revived And Renewed Mental Health, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4400 Ambassador Caffery Pkwy Ste A167, Lafayette, Louisiana |
| Authorized Official Name and Position | Brandy M Skidmore (LCSW/OWNER) |
| Authorized Official Contact | 3374500406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revived And Renewed Mental Health, Llc 4400 Ambassador Caffery Pkwy Ste A167 Lafayette LA 70508-6760 Ph: (337) 450-0406 | Revived And Renewed Mental Health, Llc 4400 Ambassador Caffery Pkwy Ste A167 Lafayette LA 70508-6760 Ph: (337) 450-0406 |
| NPI Number | 1376151969 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376151969 | NPI | - | NPPES |
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