Provider Demographics
NPI:1669905022
Name:RELATIONSHIPS RENEWED COACHING AND COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:RELATIONSHIPS RENEWED COACHING AND COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS, LMFT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:512-568-0343
Mailing Address - Street 1:19502 STAGE LINE TRL
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2954
Mailing Address - Country:US
Mailing Address - Phone:512-568-0343
Mailing Address - Fax:
Practice Address - Street 1:821 GRAND AVENUE PKWY
Practice Address - Street 2:SUITES 103 & 106
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2196
Practice Address - Country:US
Practice Address - Phone:512-568-0343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21363106H00000X
TX201515106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty