Organization
RENEWED VISION COUNSELING AND IDD SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LYNN MARSHALL (BOARD CHAIRMAN)
(402) 889-8395
Entity
Organization
Contact information
Practice address
121 MCDANIEL ST, TYRONZA, AR 72386-2007
(402) 889-8395
Mailing address
121 MCDANIEL ST, TYRONZA, AR 72386-2007
(402) 889-8395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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