| Renew Your Heart And Mind, Llc | |
|
23321 Country Living Rd Millsboro DE 19966-2850 | |
| (302) 344-7519 | |
| Not Available |
| Full Name | Renew Your Heart And Mind, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23321 Country Living Rd, Millsboro, Delaware |
| Authorized Official Name and Position | Carolyn Carter Showell (OWNER) |
| Authorized Official Contact | 3023447519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Your Heart And Mind, Llc 23321 Country Living Rd Millsboro DE 19966-2850 Ph: (302) 344-7519 | Renew Your Heart And Mind, Llc 23321 Country Living Rd Millsboro DE 19966-2850 Ph: (302) 344-7519 |
| NPI Number | 1194232694 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Medicare PECOS PAC ID | 7618237769 |
|---|---|
| Medicare Enrollment ID | O20180209000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194232694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2017103313 (Delaware) | Primary |
| Provider Name | Carolyn C Showell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912339938 PECOS PAC ID: 0345545810 Enrollment ID: I20160222000064 |
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