Organization
RENEW COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN YATES MSW LSW (OWNER/COUNSELOR)
(219) 608-8357
Entity
Organization
Contact information
Practice address
100 ANCHOR RD STE 2, MICHIGAN CITY, IN 46360-2802
(219) 608-8357
(833) 249-9175
Mailing address
100 ANCHOR RD STE 2, MICHIGAN CITY, IN 46360-2802
(574) 298-0548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013186782
—
IN
05
—
1659343911
—
IN
Enumeration date
07/31/2019
Last updated
10/23/2023
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