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Organization
RENEWED INTEGRATIVE WELLNESS LLC
Active
Organization
RENEWED INTEGRATIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNETTE G ALCANTARA MA, LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(813) 641-4410
Entity
Organization
Contact information
Practice address
316 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 641-4410
(813) 537-8580
Mailing address
10723 BANFIELD DR, RIVERVIEW, FL 33579-7781
(813) 641-4410
(813) 537-8580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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