RENEW COUNSELING LLC NPI 1629622212

NPI Information

NPI: 1629622212
Provider Name: RENEW COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
100 ANCHOR RD STE 2
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 608-8357
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RENEW COUNSELING LLC is a mental health counselor in Michigan City, IN. RENEW COUNSELING LLC NPI is 1629622212. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 ANCHOR RD STE 2
MICHIGAN CITY, IN
ZIP 46360-802
Phone: (219) 608-8357
Fax: (833) 249-9175

The provider's authorized official is Dawn Yates .
The authorized official title is Owner/counselor and has the following contact phone number (219) 608-8357.

The enumeration date for this NPI number is 7/31/2019 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1659343911	MEDICAID	INDIANA
2	1013186782	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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