| Renovation Integrative Health | |
|
4602 Cr 673 # 7240 Bushnell FL 33513-8358 | |
| (321) 297-6775 | |
| Not Available |
| Full Name | Renovation Integrative Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4602 Cr 673 # 7240, Bushnell, Florida |
| Authorized Official Name and Position | Brandy K Biglow (OWNER) |
| Authorized Official Contact | 3212976775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovation Integrative Health 172 Rainbow Dr # 7240 Livingston TX 77399-1072 Ph: (321) 297-6775 | Renovation Integrative Health 4602 Cr 673 # 7240 Bushnell FL 33513-8358 Ph: (321) 297-6775 |
| NPI Number | 1194478248 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194478248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Lets Grow Aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4090 Sw 46th Ln, Bushnell, FL 33513 Phone: 352-406-9638 |