| NPI | 1568790608 |
|---|---|
| Other Name | LIFE RENOVATIONS, LLC |
| Entity Type | Organization |
| Authorized Contact | BRITNI ANN KINKADE Partner 325-672-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX H7133) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 60862) |
| 101YP2500X Counselor, Professional (Licence: TX 61386) | |
| 101YP2500X Counselor, Professional (Licence: TX 64596) | |
| 101YP2500X Counselor, Professional (Licence: TX 14842) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 34115) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 626151) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 23019) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2013-01-09 |