Renewed Integrative Wellness Llc
Legal Business Name
Renewed Integrative Wellness Llc
NPI Number
1699348797
NPI Type
Organization
Enumeration Date
07/19/2021
Specialties
(Taxonomies)Name
Code
103TC0700X
1041C0700X
171400000X
106H00000X
133NN1002X
101YP1600X
101YS0200X
103TS0200X
1041S0200X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
10723 BANFIELD DR
316 E BLOOMINGDALE AVE
City
Riverview
Brandon
State
FL
FL
Postal Code
33579-7781
33511-8155
Country
US
US
Telephone Number
(813) 641-4410
(813) 641-4410
Authorized Official
Name
Mrs. Jeannette Alcantara
Title or Position
LICENSED MENTAL HEALTH COUNSELOR
Telephone Number
(813) 641-4410
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/19/2021