Organization

Renewed Integrative Wellness Llc

Legal Business Name

Renewed Integrative Wellness Llc

NPI Number

1699348797

NPI Type

Organization

Enumeration Date

07/19/2021

Specialties

(Taxonomies)

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

Provider Address