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Organization
RENEW MENTAL HEALTH PLLC
Active
Organization
RENEW MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MARIE AXEN MN LICSW #24563 (MENTAL HEALTH THERAPIST)
(651) 328-9831
Entity
Organization
Contact information
Practice address
1500 MCANDREWS RD W STE 124, BURNSVILLE, MN 55337-4432
(651) 328-9831
(612) 416-8143
Mailing address
13914 AQUILA CIR, SAVAGE, MN 55378-2155
(651) 328-9831
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
07/18/2023
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