Organization
RENEWED COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARI SUZETTE DEMPSEY LPC (OWNER)
(210) 289-8405
Entity
Organization
Contact information
Practice address
1800 NE LOOP 410, SUITE 209, SAN ANTONIO, TX 78217-5213
(210) 289-8405
(210) 679-6705
Mailing address
13051 GROVE PT, SAN ANTONIO, TX 78253-5755
(210) 289-8405
(210) 679-6705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
63113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202676701
—
TX
Enumeration date
11/25/2011
Last updated
11/25/2011
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