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Life Renewal Services
Adolescent and Children Mental Health Clinic/Center in Columbia, Maryland
NPI 1700337698

Life Renewal Services is an Adolescent and Children Mental Health Clinic/Center based in Westminster, MD and is specialized in Adolescent and Children Mental Health. Life Renewal Services practices in Columbia, MD. The NPI Number for Life Renewal Services is 1700337698 and holds a License No. (Maryland).

The current practice location address for Life Renewal Services is 10805 Hickory Ridge Rd, Columbia, MD and can be reached out via phone at 443-289-8149 and via fax at 443-821-3280.

Location: 10805 Hickory Ridge Rd, Columbia, MD, 21158-5254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700337698
Provider Name
Life Renewal Services
Credential
Provider Entity Type
Organization
Address
10805 Hickory Ridge Rd, Columbia, MD, 21158-5254
Phone Number
443-289-8149
Fax Number
443-821-3280
Provider Enumeration Date
10/17/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10805 Hickory Ridge Rd
City
Columbia
State
Maryland
Zip
21044-3626
Phone Number
443-289-8149
Fax Number
443-821-3280
person
Provider Business Mailing Address Details
Address
10805 Hickory Ridge Rd
City
Columbia
State
Maryland
Zip
21044-3626
Phone Number
443-289-8149
Fax Number
443-821-3280
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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