Organization
LIFE RENEWAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN KANE BYRD LCPC (CEO)
(410) 840-4116
Entity
Organization
Contact information
Practice address
6940 TUDSBURY RD, WINDSOR MILL, MD 21244-2674
(410) 277-8910
(410) 277-8911
Mailing address
6940 TUDSBURY RD, WINDSOR MILL, MD 21244-2674
(410) 277-8910
(410) 277-8911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399002800
—
MD
Enumeration date
04/02/2007
Last updated
02/18/2014
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