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Organization

RENEW LIFE COUNSELING & CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUGCORA GREEN LPC (OWNER)
(225) 771-9521
Entity
Organization

Contact information

Practice address
28391 LONGFELLOW LN, ALBANY, LA 70711
(225) 771-9521
(225) 612-6317
Mailing address
4700 MILLWOOD DR UNIT 86076, BATON ROUGE, LA 70879-5045
(225) 771-9521
(225) 612-6317

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/26/2021
Last updated
11/26/2021
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