Organization
RENEW PSYCHIATRY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHIE ARMELL BOLDEN PMHNP-BC (OWNER)
(678) 900-0308
Entity
Organization
Contact information
Practice address
177 ELECTRIC RD, SALEM, VA 24153
(678) 900-0308
(540) 204-4097
Mailing address
5715 GLEN HAVEN DR, ROANOKE, VA 24019-4064
(678) 900-0308
(540) 204-4097
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
06/11/2019
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