| Renewing Roots Center | |
|
1707 Mahogany Way Apt 52 Antioch CA 94509-3140 | |
| (925) 378-5295 | |
| Not Available |
| Full Name | Renewing Roots Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1707 Mahogany Way Apt 52, Antioch, California |
| Authorized Official Name and Position | Devon Layshene Rankin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9253785295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Roots Center 1707 Mahogany Way Apt 52 52 Antioch CA 94509-3140 Ph: (925) 378-5295 | Renewing Roots Center 1707 Mahogany Way Apt 52 Antioch CA 94509-3140 Ph: (925) 378-5295 |
| NPI Number | 1548099815 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 10/19/2026 |
| Certification Date | 10/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548099815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | () | Primary |
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