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NPI Code Detail

MEDICARE: RENEWED COUNSELING, INC.

MEDICARE: RENEWED COUNSELING, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1063922540
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEWED COUNSELING, INC.
Provider Business Mailing Address
First Line : 2350 MINTON RD STE 103
Second Line :
City : WEST MELBOURNE
State : FL
Zip : 32904-6603
Country : US
Telephone Number : 321-426-0359
Fax Number :
Provider Business Practice Location Address
First Line : 2350 MINTON RD STE 103
Second Line :
City : WEST MELBOURNE
State : FL
Zip : 32904-6603
Country : US
Telephone Number : 201-965-3991
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. SARAI ESCARMENT
Credential : MS
Telephone Number : 321-426-0359
Provider Enumeration Date : 10/10/2017
Last Update Date : 02/12/2025

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Directions to “RENEWED COUNSELING, INC. ” Practice Location

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