| Renew Mental Health Llc | |
|
411 Orange St Tabor IA 51653-2049 | |
| (319) 804-9767 | |
| Not Available |
| Full Name | Renew Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 411 Orange St, Tabor, Iowa |
| Authorized Official Name and Position | Tawnie Ware (THERAPIST) |
| Authorized Official Contact | 7123103920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Mental Health Llc 10 Waubonsie Ave Tabor IA 51653-2032 Ph: (712) 310-3920 | Renew Mental Health Llc 411 Orange St Tabor IA 51653-2049 Ph: (319) 804-9767 |
| NPI Number | 1275213811 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 2466898820 |
|---|---|
| Medicare Enrollment ID | O20240308000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275213811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tawnie Michelle Ware |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518454123 PECOS PAC ID: 3375989734 Enrollment ID: I20240308000603 |
Cornerstone Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Main St, Tabor, IA 51653 Phone: 712-350-1027 |