| Renewed Life | |
|
1141 Pepperdine Ln Sanford FL 32771-6646 | |
| (407) 900-3518 | |
| Not Available |
| Full Name | Renewed Life |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1141 Pepperdine Ln, Sanford, Florida |
| Authorized Official Name and Position | Melita Cogburn (MENTAL HEALTH THERAPIST- OWNER) |
| Authorized Official Contact | 4079003518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Life 4300 W Lake Mary Blvd Ste 1010-188 Lake Mary FL 32746-2060 Ph: (407) 900-3518 | Renewed Life 1141 Pepperdine Ln Sanford FL 32771-6646 Ph: (407) 900-3518 |
| NPI Number | 1407502206 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407502206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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