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Organization

RENEWAL AND RESTORATION, LLC

Active
Other names
Renewal and Restoration, LLC Therapeutic and Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARIEL MOSS LLOYD PH.D. (DIRECTOR/CLINICAL PSYCHOLOGIST)
(504) 264-1830
Entity
Organization

Contact information

Practice address
210 N FLORIDA ST, COVINGTON, LA 70433-3248
(504) 264-1830
Mailing address
7451 SEVEN OAKS RD, NEW ORLEANS, LA 70128-2230
(504) 722-5228

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1202
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600788083
LA
Enumeration date
02/27/2015
Last updated
02/10/2016
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