| Renewed Therapy & Wellness Center | |
|
1622 Amour Dr Apt 3 Leesville LA 71446-5261 | |
| (850) 625-1788 | |
| Not Available |
| Full Name | Renewed Therapy & Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1622 Amour Dr Apt 3, Leesville, Louisiana |
| Authorized Official Name and Position | Janice Tabatha Hill (OWNER) |
| Authorized Official Contact | 8506251788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Therapy & Wellness Center 1622 Amour Dr Apt 3 Leesville LA 71446-5261 Ph: (850) 625-1788 | Renewed Therapy & Wellness Center 1622 Amour Dr Apt 3 Leesville LA 71446-5261 Ph: (850) 625-1788 |
| NPI Number | 1740809623 |
|---|---|
| Provider Enumeration Date | 04/10/2020 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740809623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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