Organization
INNER RENOVATIONS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEL C. BOWEN LCMHC, LCAS, CCS (PRIVATE PRACTICE OWNER)
(704) 981-2569
Entity
Organization
Contact information
Practice address
18135 W CATAWBA AVE, CORNELIUS, NC 28031-5641
(704) 981-2569
Mailing address
163 ELBA DR, MOORESVILLE, NC 28115-5800
(704) 981-2569
(704) 765-4675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
01/22/2024
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