Organization
RENOVATE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE G. SANDER (OWNER)
(260) 307-5030
Entity
Organization
Contact information
Practice address
2350 S STATE ROAD 1, BLUFFTON, IN 46714-9698
(260) 307-5030
(260) 824-8445
Mailing address
2350 S STATE ROAD 1, BLUFFTON, IN 46714-9698
(260) 307-5030
(260) 824-8445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/27/2019
Last updated
05/24/2019
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