Organization
RENU CHILDREN AND FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE SANDERS LPC (LICENSED PROFESSIONAL COUNSELOR/ OW)
(706) 284-2382
Entity
Organization
Contact information
Practice address
1953 WOODCHUCK WAY, HEPHZIBAH, GA 30815-7948
(706) 284-2382
(762) 994-0885
Mailing address
119 DAVIS RD, SUITE 3A, MARTINEZ, GA 30907-0200
(762) 994-0882
(762) 994-0885
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC006452
GA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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