Organization
RENEWAL CHRISTIAN COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL R MILLER (OFFICE MANAGER)
(586) 783-2950
Entity
Organization
Contact information
Practice address
100 NB GRATIOT AVE, MOUNT CLEMENS, MI 48043-2301
(586) 783-2950
(586) 690-4333
Mailing address
100 NB GRATIOT AVE, MOUNT CLEMENS, MI 48043-2301
(586) 783-2950
(586) 690-4333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MI
103TC0700X
Clinical Psychologist
—
MI
1041C0700X
Clinical Social Worker
—
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
537803
VALUE OPTIONS
MI
01
—
709144000
MAGELLAN HEALTH SERVICES
MI
01
—
7509104850
BCBSM - CT
MI
Enumeration date
05/13/2006
Last updated
03/17/2018
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