Provider Demographics
NPI:1205668258
Name:RENEWED PERSPECTIVES PLLC
Entity type:Organization
Organization Name:RENEWED PERSPECTIVES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JACOBY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DESHLER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:641-799-7471
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:AGENCY
Mailing Address - State:IA
Mailing Address - Zip Code:52530-0031
Mailing Address - Country:US
Mailing Address - Phone:641-799-7471
Mailing Address - Fax:
Practice Address - Street 1:503 N VINE ST
Practice Address - Street 2:
Practice Address - City:AGENCY
Practice Address - State:IA
Practice Address - Zip Code:52530-9763
Practice Address - Country:US
Practice Address - Phone:641-799-7471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty