RENEWED LIFE COUNSELING LLC NPI 1811452188

NPI Information

RENEWED LIFE COUNSELING, LLC is a substance abuse rehabilitation facility in Coon Rapids, MN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RENEWED LIFE COUNSELING, LLC NPI is 1811452188. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Renewed Life Counseling Services.

The provider's business location address is:

10026 UNIVERSITY AVE NW STE 103
COON RAPIDS, MN
ZIP 55448-213
Phone: (612) 636-9677

The provider's authorized official is Nikisha Lynnette Simmons-maclin .
The authorized official title is Executive Director and has the following contact phone number (612) 636-9677.

The enumeration date for this NPI number is 1/31/2019 and was last updated on 1/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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