Organization
LIFE RENEWAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA JEAN MARKER MA, LMFT (OWNER)
(952) 500-9502
Entity
Organization
Contact information
Practice address
3000 COUNTY ROAD 42 W STE 210, BURNSVILLE, MN 55337-4827
(952) 500-9502
(952) 303-4692
Mailing address
3000 COUNTY ROAD 42 W STE 210, BURNSVILLE, MN 55337-4826
(952) 500-9502
(952) 303-9502
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1467
MN
Other
Enumeration date
04/06/2018
Last updated
08/29/2020
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