RENEW WELLNESS GROUP LLC NPI 1174004881

NPI Information

NPI: 1174004881
Provider Name: RENEW WELLNESS GROUP, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3915 CASCADE RD SW STE T-145
ATLANTA, GA
ZIP 30331
Phone: (404) 965-5848
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RENEW WELLNESS GROUP, LLC is a professional counselor in Atlanta, GA. RENEW WELLNESS GROUP, LLC NPI is 1174004881. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3915 CASCADE RD SW STE T-145
ATLANTA, GA
ZIP 30331-520
Phone: (404) 965-5848
Fax: (404) 965-5848

The provider's authorized official is Sarah Nyasha Pace .
The authorized official title is Owner and has the following contact phone number (404) 909-4507.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 10/20/2022.

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	101YP2500X	Counselor	Professional	LPC006062	GEORGIA	Yes

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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