| Heal And Renew Family Counseling Center, Professional Corporation | |
|
27789 Kildare Pl Moreno Valley CA 92555-5638 | |
| (951) 268-4483 | |
| Not Available |
| Full Name | Heal And Renew Family Counseling Center, Professional Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 27789 Kildare Pl, Moreno Valley, California |
| Authorized Official Name and Position | Elyse Diana Dejohnette (CEO) |
| Authorized Official Contact | 9512684483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal And Renew Family Counseling Center, Professional Corporation Po Box 6215 Moreno Valley CA 92554-6215 Ph: (951) 268-4483 | Heal And Renew Family Counseling Center, Professional Corporation 27789 Kildare Pl Moreno Valley CA 92555-5638 Ph: (951) 268-4483 |
| NPI Number | 1467301572 |
|---|---|
| Provider Enumeration Date | 01/23/2026 |
| Last Update Date | 01/23/2026 |
| Certification Date | 01/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467301572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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