Renewed Life Counseling, LLC

NPI #1861264038 in Fruitport, Michigan

Provider Information

NPI Number: 1861264038
Entity Type: Organization
Organization Name: Renewed Life Counseling, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 6101 E STERNBERG RD
City: Fruitport
State: Michigan
ZIP Code: 49415-9739
Phone: (231) 769-0077

Authorized Official

Name: TRISHA KING, LMSW, CCATP, ASDCS
Title: OWNER/CLINICIAL SOCIAL WORKER
Phone: (231) 769-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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