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Organization
RENEWED SOUL PLLC
Active
Organization
RENEWED SOUL PLLC
Active
Other names
Renewed Soul LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARTER HARRIS LPC (OWNER)
(720) 656-2046
Entity
Organization
Contact information
Practice address
1090 S WADSWORTH BLVD UNIT C-5013, LAKEWOOD, CO 80226-4328
(720) 656-2046
Mailing address
1090 S WADSWORTH BLVD, UNIT C PMB 5013, LAKEWOOD, CO 80226
(720) 656-2046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/04/2024
Last updated
11/09/2024
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