MIND RENEWAL COUNSELING & COACHING, LLC
Mental Health at Datura St, West Palm Beach, FL

License number
Florida MH7843
Category
Mental Health
Type
Mental Health
Owner
Name: MICHELLE A FORAKER ABD, LMHC, NCC
Title: EXECUTIVE DIRECTOR
Phone: (561) 366-9111
Address
Address
224 Datura St SUITE 407, West Palm Beach, FL 33401
National Provider ID: 1043462757
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MIND RENEWAL COUNSELING & COACHING, LLC at bizstanding.com

MIND RENEWAL COUNSELING & COACHING, LLC

West Palm Beach, FL

Status:
Inactive
Industry:
Individual/Family Services
Doing business as:
Mind Renewal Counseling
Inactive reason:
Reinstatement
Registration:
Dec 28, 2007
Inactive since:
Jun 19, 2013
Phone:
(561) 366-9119 (Phone)
Addresses:
2001 Palm Bch Lk Blvd 502G, West Palm Beach, FL 33409 (Physical)
2161 Palm Bch Lk Blvd, West Palm Beach, FL 33409
2001 Palm Bch Lk Blvd, West Palm Beach, FL 33409
224 Datura St, West Palm Beach, FL 33401
State ID:
L07000128004
Business type:
Florida Limited Liability Company
Manager, Executive Director, Principal:
Michelle Foraker Manager, Executive Director, Principal, inactive, 2001 Palm Bch Lk Blvd, West Palm Beach, FL 33409 (Physical)
EIN:
90-0528633

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