Anew Life Counseling And Consulting Group, LLC
Clinic/Center, Adult Mental Health in Tallahassee, FL. Organization (NPI-2).
NPI number1104469618
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1104469618
- Entity type
- Organization (NPI-2)
- Legal business name
- Anew Life Counseling And Consulting Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2019
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
1266 Cedar Center DrTallahassee, FL 32301-4876
Phone 850-508-4624
Mailing address
1266 Cedar Center DrTallahassee, FL 32301-4876
Phone 850-508-4624 · Fax 850-512-1301
Authorized official
Drake H Gunning
Owner
8505084624
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