| Renew Counseling Llc | |
|
100 Anchor Rd Ste 2 Michigan City IN 46360-2802 | |
| (219) 608-8357 | |
| (833) 249-9175 |
| Full Name | Renew Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Anchor Rd Ste 2, Michigan City, Indiana |
| Authorized Official Name and Position | Dawn Yates (OWNER/COUNSELOR) |
| Authorized Official Contact | 2196088357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling Llc 100 Anchor Rd Ste 2 Michigan City IN 46360-2802 Ph: (574) 298-0548 | Renew Counseling Llc 100 Anchor Rd Ste 2 Michigan City IN 46360-2802 Ph: (219) 608-8357 |
| NPI Number | 1629622212 |
|---|---|
| Provider Enumeration Date | 07/31/2019 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629622212 | NPI | - | NPPES |
| 1659343911 | Medicaid | IN | |
| 1013186782 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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