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Renewed Life Counseling, Llc
Substance Abuse Rehabilitation Facility in Coon Rapids, Minnesota
NPI 1811452188

Renewed Life Counseling, Llc is a Substance Abuse Rehabilitation Facility based in Coon Rapids, MN. Renewed Life Counseling, Llc practices in Coon Rapids, MN. The NPI Number for Renewed Life Counseling, Llc is 1811452188 and holds a License No. (Minnesota).

The current practice location address for Renewed Life Counseling, Llc is 10026 University Ave Nw Ste 103, Coon Rapids, MN and can be reached out via phone at 612-636-9677.

Location: 10026 University Ave Nw Ste 103, Coon Rapids, MN, 55448-2213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811452188
Provider Name
Renewed Life Counseling, Llc
Credential
Provider Entity Type
Organization
Address
10026 University Ave Nw Ste 103, Coon Rapids, MN, 55448-2213
Phone Number
612-636-9677
Fax Number
Provider Enumeration Date
01/31/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1098948 01 MN MINNESOTA DEPARTMENT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
10026 University Ave Nw Ste 103
City
Coon Rapids
State
Minnesota
Zip
55448-2213
Phone Number
612-636-9677
Fax Number
person
Provider Business Mailing Address Details
Address
10026 University Ave Nw Ste 103
City
Coon Rapids
State
Minnesota
Zip
55448-2213
Phone Number
612-636-9677
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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