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General NPI Number Information
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NPI Number | 1801133087
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Entity Type | Organization
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Legal Business Name | THE RENEW COUNSELING CENTER
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 1509 N MILITARY TRL STE 100
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City | WEST PALM BEACH
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State | FL
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Zip | 33409
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Country | US
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Telephone | 561-223-2986
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Fax | 888-221-7996
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Provider Business Mailing Address
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Address Line | 1509 N MILITARY TRL STE 100
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-4765
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Country | US
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Telephone | 561-223-2986
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Fax | 888-221-7996
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Authorized Official
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Title or Position | CEO
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Name | MR. ADAM S. COLLING
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Credential | LMHC, CAP
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Telephone | 561-223-2986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11393
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License Number State | FL
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