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Organization
RENEW MENTAL HEALTH AND WELLNESS LLC
Active
Organization
RENEW MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY LYNCH PMHNP (OWNER)
(870) 243-0424
Entity
Organization
Contact information
Practice address
1150 E MATTHEWS AVE STE 101A, JONESBORO, AR 72401-4356
(870) 243-0424
(534) 248-4225
Mailing address
1150 E MATTHEWS AVE STE 101A, JONESBORO, AR 72401-4356
(870) 243-0424
(534) 248-4225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
09/28/2023
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