| Renova Wellness And Consulting Pllc | |
|
10694 S River Front Pkwy South Jordan UT 84095-3525 | |
| (801) 317-8522 | |
| Not Available |
| Full Name | Renova Wellness And Consulting Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10694 S River Front Pkwy, South Jordan, Utah |
| Authorized Official Name and Position | Joseph Gleed (OWNER) |
| Authorized Official Contact | 8013178522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renova Wellness And Consulting Pllc 10061 S 4400 W South Jordan UT 84009-9193 Ph: (801) 616-2116 | Renova Wellness And Consulting Pllc 10694 S River Front Pkwy South Jordan UT 84095-3525 Ph: (801) 317-8522 |
| NPI Number | 1033905518 |
|---|---|
| Provider Enumeration Date | 04/19/2025 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033905518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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