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Organization
RENOVATED SOUL MARRIAGE AND FAMILY THERAPY, PLLC
Active
Organization
RENOVATED SOUL MARRIAGE AND FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERITA DANIELLE ANDERSON-BAILEY LMFT (OWNER)
(716) 994-8698
Entity
Organization
Contact information
Practice address
331 ALBERTA DR STE 115, BUFFALO, NY 14226-1813
(716) 787-1983
Mailing address
1404 SWEET HOME RD STE 2, AMHERST, NY 14228-2778
(716) 787-1983
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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