| Renewed Journey Psychological Services LLC | |
|
5442 E 5th St Ste A Tucson AZ 85711-2334 | |
| (520) 904-5277 | |
| (520) 904-5277 |
| Full Name | Renewed Journey Psychological Services LLC |
|---|---|
| Speciality | Psychologist |
| Location | 5442 E 5th St Ste A, Tucson, Arizona |
| Authorized Official Name and Position | Jacqueline Y Ford (PRESIDENT/CEO) |
| Authorized Official Contact | 5209045277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Journey Psychological Services LLC Po Box 19066 Tucson AZ 85731-9066 Ph: (520) 904-5277 | Renewed Journey Psychological Services LLC 5442 E 5th St Ste A Tucson AZ 85711-2334 Ph: (520) 904-5277 |
| NPI Number | 1033886908 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033886908 | NPI | - | NPPES |
| 195157 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | () | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
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