Provider Demographics
NPI:1013456862
Name:REFINED BEGINNINGS COUNSELING, LLC
Entity Type:Organization
Organization Name:REFINED BEGINNINGS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENET'E
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-352-9460
Mailing Address - Street 1:1301 RIVERPLACE BLVD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-9047
Mailing Address - Country:US
Mailing Address - Phone:904-352-9460
Mailing Address - Fax:904-562-1361
Practice Address - Street 1:1301 RIVERPLACE BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-9047
Practice Address - Country:US
Practice Address - Phone:904-352-9460
Practice Address - Fax:904-562-1361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty