Organization
RENEW COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY SYSUM LMSW (SOLE OWNER)
(517) 667-8447
Entity
Organization
Contact information
Practice address
600 S MAIN ST, EATON RAPIDS, MI 48827-1426
(517) 667-8447
(517) 663-4508
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010330
MI
Other
Enumeration date
07/22/2007
Last updated
09/23/2012
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