Renew Support Services PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C005627 Issued in NC

Legal business name

RENEW SUPPORT SERVICES PLLC

Practice address

9332 Tibble Creek Way
Charlotte, NC 28227-6674

Phone

(980) 819-1842

NPI assigned

Sep 13, 2016

Last updated

Sep 13, 2016By 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

Diana Torres, LCSW

Title

Executive Director-Psychotherapist

Phone

(980) 819-1842

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Erin Flinn Kingston, LCWSA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1487002143
  NPD (past)
• Juliana Lozano, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1285303248
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1467900068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 TIBBLE CREEK WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276674",
            "telephone_number": "980-819-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 TIBBLE CREEK WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276674",
            "telephone_number": "980-819-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW SUPPORT SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR-PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "980-819-1842",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jahaziel Rendon, PA
• Renee Beauregard, PLLC
• Renew 360 Support Services Inc
• Renew Health South
• Renew Project LLC
• Renewed & Restored LLC
• Renewed Axis Telehealth PLLC
• Renewed Beginnings Home Inc
• Renewed Mindset Therapeutic Services, PLLC
• Renewed Peace PLLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.