Renascence Behavioral Healthcare Group, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENASCENCE BEHAVIORAL HEALTHCARE GROUP, INC

Practice address

8553 Argyle Business Loop Ste 1
Jacksonville, FL 32244-6604

Phone

(904) 630-5169

Fax

(904) 645-8464

NPI assigned

Apr 18, 2018

Last updated

Apr 18, 2018By 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

Mary Sutherland, MS

Title

President

Phone

(904) 630-5169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1386131092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 ARGYLE BUSINESS LOOP STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446604",
            "telephone_number": "904-630-5169",
            "fax_number": "904-645-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 ARGYLE BUSINESS LOOP STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446604",
            "telephone_number": "904-630-5169",
            "fax_number": "904-645-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENASCENCE BEHAVIORAL HEALTHCARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-630-5169",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galina Aleksandrovna Remigaylo, ARNP
• Rachael Remlinger
• Remote Life Health LLC
• Remys Healthcare Services LLC
• Renaissance Supportive Services Inc.
• Renata Drukh Psychology LLC
• Tara Renbeck
• Larry Darnell Rencher
• Hope Rendell, RBT
• Orlando Villlanueva Rendon, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.