| Renew Counseling Center @snu | |
|
6612 Nw 42nd St Bethany OK 73008-2764 | |
| (405) 717-6200 | |
| Not Available |
| Full Name | Renew Counseling Center @snu |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6612 Nw 42nd St, Bethany, Oklahoma |
| Authorized Official Name and Position | Holly N Sapp (EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 4057176200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling Center @snu 6612 Nw 42nd St Bethany OK 73008-2764 Ph: (405) 717-6200 | Renew Counseling Center @snu 6612 Nw 42nd St Bethany OK 73008-2764 Ph: (405) 717-6200 |
| NPI Number | 1871069245 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871069245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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