Provider Demographics
NPI:1568293686
Name:RENEE BOND LICENSED PROFESSIONAL CLINICAL COUNSELOR PC STAY MINDFUL
Entity type:Organization
Organization Name:RENEE BOND LICENSED PROFESSIONAL CLINICAL COUNSELOR PC STAY MINDFUL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:916-572-7623
Mailing Address - Street 1:7023 MAITA CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820-2113
Mailing Address - Country:US
Mailing Address - Phone:916-572-7623
Mailing Address - Fax:
Practice Address - Street 1:2620 J STREET
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816
Practice Address - Country:US
Practice Address - Phone:916-572-7623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-10
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty