Renewed Life Christian Counseling Center Inc - Medicare Mental Health Clinic in Bear, DE

Renewed Life Christian Counseling Center Inc is a medicare enrolled mental health clinic (Community/behavioral Health) in Bear, Delaware. The current practice location for Renewed Life Christian Counseling Center Inc is 3135 Summit Bridge Rd, Bear, Delaware. For appointments, you can reach them via phone at (302) 464-0515. The mailing address for Renewed Life Christian Counseling Center Inc is 34 Dalton Dr, Newark, Delaware and phone number is (302) 464-0515.

Renewed Life Christian Counseling Center Inc is licensed to practice in Delaware (license number 103TP2701X). The clinic also participates in the medicare program and its NPI number is 1598039794. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (302) 464-0515.

Contact Information

Renewed Life Christian Counseling Center Inc
3135 Summit Bridge Rd
Bear
DE 19701-2001
(302) 464-0515
(302) 454-7274

Mental Health Clinic Profile

Full NameRenewed Life Christian Counseling Center Inc
SpecialityCommunity/Behavioral Health
Location3135 Summit Bridge Rd, Bear, Delaware
Authorized Official Name and PositionGrant R Hasty (CEO/PRESIDENT)
Authorized Official Contact3024640515
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renewed Life Christian Counseling Center Inc
34 Dalton Dr
Newark
DE 19702-2059

Ph: (302) 464-0515
Renewed Life Christian Counseling Center Inc
3135 Summit Bridge Rd
Bear
DE 19701-2001

Ph: (302) 464-0515

NPI Details:

NPI Number1598039794
Provider Enumeration Date03/06/2012
Last Update Date03/06/2012

Medicare PECOS Information:

Medicare PECOS PAC ID6901066000
Medicare Enrollment IDO20120328000031

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Medical Identifiers

Medical identifiers for Renewed Life Christian Counseling Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598039794NPI-NPPES
1972520534MedicaidDE
1000035733MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health 103TP2701X (Delaware)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Renewed Life Christian Counseling Center Inc acts as a billing entity for following providers:
Provider NameGrant R Hasty
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053509737
PECOS PAC ID: 9739258724
Enrollment ID: I20080516000235

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Provider NameRuth A Burton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972898641
PECOS PAC ID: 8022288372
Enrollment ID: I20110824000774

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› Verified 9 days ago

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