| Renewing Your Mind Counseling Services, Llc | |
|
22190 Garrison St Ste 204 Dearborn MI 48124-2235 | |
| (248) 259-9157 | |
| Not Available |
| Full Name | Renewing Your Mind Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 22190 Garrison St Ste 204, Dearborn, Michigan |
| Authorized Official Name and Position | Yvette M Anderson (OWNER) |
| Authorized Official Contact | 2482599157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Your Mind Counseling Services, Llc 22190 Garrison St Ste 204 Dearborn MI 48124-2235 Ph: (248) 259-9157 | Renewing Your Mind Counseling Services, Llc 22190 Garrison St Ste 204 Dearborn MI 48124-2235 Ph: (248) 259-9157 |
| NPI Number | 1215699335 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 4284072711 |
|---|---|
| Medicare Enrollment ID | O20240403002470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215699335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Yvette Chandler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255758702 PECOS PAC ID: 5193163624 Enrollment ID: I20240403002598 |
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