Organization
RENEWED FOUNDATIONS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN GAYLOR BROYLES LPC (OWNER)
(706) 237-9750
Entity
Organization
Contact information
Practice address
105 REDMOND RD NW, ROME, GA 30165-1535
(706) 767-1421
Mailing address
105 REDMOND RD NW, ROME, GA 30165-1535
(706) 237-9750
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
09/08/2022
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