| Renewed Foundations Counseling Services | |
|
105 Redmond Rd Nw Rome GA 30165-1535 | |
| (706) 767-1421 | |
| Not Available |
| Full Name | Renewed Foundations Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 105 Redmond Rd Nw, Rome, Georgia |
| Authorized Official Name and Position | Kristen Gaylor Broyles (OWNER) |
| Authorized Official Contact | 7062379750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Foundations Counseling Services 105 Redmond Rd Nw Rome GA 30165-1535 Ph: (706) 237-9750 | Renewed Foundations Counseling Services 105 Redmond Rd Nw Rome GA 30165-1535 Ph: (706) 767-1421 |
| NPI Number | 1225758485 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225758485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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› Verified 5 days ago
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