Organization · Type 2 NPI
Renewed Soul PLLC
Mental Health Counselor · Lakewood, CO
NPI number
1972360394
Active
Practice location
1090 S Wadsworth Blvd Unit C-5013
Lakewood, CO 80226-4328
Mailing address
1090 S Wadsworth Blvd, Unit C Pmb 5013
Lakewood, CO 80226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1972360394
Renewed Soul PLLC's National Provider Identifier is 1972360394, issued on Mar 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, CO. The record was last updated on Nov 9, 2024.