Organization
RENEW INC
Active
Other names
Renew Eating Disorder Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
KOREEN D HINTZ-BOHN LCPC (EXECUTIVE DIRECTOR)
(913) 768-6606
Entity
Organization
Contact information
Practice address
11695 S BLACKBOB RD, OLATHE, KS 66062-1020
(913) 768-6606
(913) 768-6609
Mailing address
11695 S BLACKBOB RD, OLATHE, KS 66062-1020
(913) 768-6606
(913) 768-6609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 266
KS
101YP2500X
Professional Counselor
LCPC 730
KS
101YP2500X
Professional Counselor
LPC 1879
KS
103TC1900X
Counseling Psychologist
LCP 921
KS
106H00000X
Marriage & Family Therapist
LMFT 1043
KS
106H00000X
Marriage & Family Therapist
LMFT 910
KS
133V00000X
Registered Dietitian
R601192
KS
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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