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Organization
RENEW CHURCH OCOEE INC
Active
Organization
RENEW CHURCH OCOEE INC
Active
Other names
Renew Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY JONES (SECRETARY)
(321) 300-6992
Entity
Organization
Contact information
Practice address
1417 N SEMORAN BLVD STE 201, ORLANDO, FL 32807-3555
(321) 300-6992
Mailing address
1746 E SILVER STAR RD, OCOEE, FL 34761-7014
(321) 300-6992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11684
FL
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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