| Renew Wellness & Psychotherapy, Llc | |
|
641 N 13th St Ste E-101 Easton PA 18042-1430 | |
| (484) 725-0072 | |
| Not Available |
| Full Name | Renew Wellness & Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 641 N 13th St Ste E-101, Easton, Pennsylvania |
| Authorized Official Name and Position | Jonathan Simon Asayag (PARTNER) |
| Authorized Official Contact | 4847250072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Wellness & Psychotherapy, Llc 215 W. Lafayette St Easton PA 18042 Ph: (484) 725-0072 | Renew Wellness & Psychotherapy, Llc 641 N 13th St Ste E-101 Easton PA 18042-1430 Ph: (484) 725-0072 |
| NPI Number | 1376082610 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 1456603307 |
|---|---|
| Medicare Enrollment ID | O20181004001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376082610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Natalie A Asayag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922442201 PECOS PAC ID: 6507100641 Enrollment ID: I20181130001309 |
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