Organization
RENOVATED SOUL MARRIAGE AND FAMILY THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERITA DANIELLE ANDERSON-BAILEY LMFT (OWNER)
(716) 994-8698
Entity
Organization
Contact information
Practice address
331 ALBERTA DR STE 115, BUFFALO, NY 14226-1813
(716) 787-1983
Mailing address
1404 SWEET HOME RD STE 2, AMHERST, NY 14228-2778
(716) 787-1983
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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