| Renovate Counseling Services Llc | |
|
2350 S State Road 1 Bluffton IN 46714-9698 | |
| (260) 307-5030 | |
| (260) 824-8445 |
| Full Name | Renovate Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2350 S State Road 1, Bluffton, Indiana |
| Authorized Official Name and Position | Lane G. Sander (OWNER) |
| Authorized Official Contact | 2603075030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovate Counseling Services Llc 2350 S State Road 1 Bluffton IN 46714-9698 Ph: (260) 307-5030 | Renovate Counseling Services Llc 2350 S State Road 1 Bluffton IN 46714-9698 Ph: (260) 307-5030 |
| NPI Number | 1689135279 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 05/24/2019 |
| Medicare PECOS PAC ID | 6103246376 |
|---|---|
| Medicare Enrollment ID | O20201009001472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689135279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dee A Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710274931 PECOS PAC ID: 4880865914 Enrollment ID: I20110922000123 |
| Provider Name | Tim E Hirschy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992081327 PECOS PAC ID: 2860770823 Enrollment ID: I20161025002786 |
| Provider Name | Michelle A Korporal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457858672 PECOS PAC ID: 6406277854 Enrollment ID: I20200610003452 |
| Provider Name | Timothy Gilleand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598233827 PECOS PAC ID: 5991155111 Enrollment ID: I20231229000378 |
| Provider Name | Bonnie K. Spallinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417597543 PECOS PAC ID: 9638529852 Enrollment ID: I20231229000648 |
| Provider Name | Lane G. Sander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013334754 PECOS PAC ID: 9739509902 Enrollment ID: I20231229001823 |
| Provider Name | Jon Curtis Leyse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912628702 PECOS PAC ID: 7416307541 Enrollment ID: I20240102001185 |
| Provider Name | Nichole M Surbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205493145 PECOS PAC ID: 5597116277 Enrollment ID: I20240106000541 |
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Life Matters Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 Sutton Circle Dr N, Bluffton, IN 46714 Phone: 260-824-1330 Fax: 260-824-1374 |