Organization
RENEWED SPIRITS TELETHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HILL LCSW, LAC (OWNER/THERAPIST)
(337) 423-6453
Entity
Organization
Contact information
Practice address
647 SLAGLE RD LOT 1, LEESVILLE, LA 71446-2086
(337) 423-6453
Mailing address
647 SLAGLE RD LOT 1, LEESVILLE, LA 71446-2086
(337) 423-6453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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