Renew Counseling LLC
Community/Behavioral Health in Sandy, UT. Organization (NPI-2).
NPI number1447592811
StatusActive
Last updated in NPPESAug 8, 2014
Details
- NPI
- 1447592811
- Entity type
- Organization (NPI-2)
- Legal business name
- Renew Counseling LLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2013
- Last updated
- Aug 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 4780650-6004 | UT | Yes |
Other names
- Renew (Doing Business As)
Practice location
63 E 11400 S#103
Sandy, UT 84070-6705
Phone 801-971-2075 · Fax 801-943-0599
Mailing address
63 E 11400 S#103
Sandy, UT 84070-6705
Phone 801-971-2075
Authorized official
Deborah Marie Wayman
Clinical Director
8019712075
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