Organization
RENEWED LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN MASTROMARINO LCMHC (OWNER)
(508) 736-0061
Entity
Organization
Contact information
Practice address
5 TSIENNETO RD UNIT 85, DERRY, NH 03038-1552
(508) 556-7067
Mailing address
5 TSIENNETO RD UNIT 85, DERRY, NH 03038-1552
(508) 556-7067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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