Renaissance Therapy & Forensic Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

License

4251 Issued in SC

Legal business name

RENAISSANCE THERAPY & FORENSIC COUNSELING CENTER

Practice address

200 Ezell St
Spartanburg, SC 29306

Phone

(864) 573-5956

Fax

(864) 573-7353

NPI assigned

Jul 10, 2006

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Cheryl Black Haman, LPC MAC SAP

Title

Owner

Phone

(864) 573-5956

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Black Morton, LMFT

  • Marriage & Family Therapist
  • Spartanburg, SC
  • NPI 1023124112
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1023041043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EZELL ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29306",
            "telephone_number": "864-573-5956",
            "fax_number": "864-573-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EZELL ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29306",
            "telephone_number": "864-573-5956",
            "fax_number": "864-573-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE THERAPY & FORENSIC COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "HAMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "BLACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-573-5956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC MAC SAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "SC",
            "license": "4251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bennett Reinhardt Jr., M.D.
• Madeline Reistroffer, ANP
• Tina M Reitmeier
• Rejuven Joint Care
• Laura Allyn Reker, PTA
• Alison Markley Renner, DO
• Kaitlin Elizabeth Resch, MS, ATC, LAT
• Kimberly Lynnette Restrepo
• Phillip Brent Reustle, PA-C
• Meredith Revan, RN

• Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.