Renewal Christian Counseling Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Mount Clemens, MI
NPI 1548211535 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1548211535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- RENEWAL CHRISTIAN COUNSELING INC
- Practice address
- 100 NB Gratiot Ave
Mount Clemens, MI 48043-2301 - Phone
- (586) 783-2950
- Fax
- (586) 690-4333
- NPI assigned
- May 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Abigail R Miller
- Title
- Office Manager
- Phone
- (586) 783-2950
Corporate family (same tax ID) 3
Practitioners 69
-
Alana M Brayboy, LPC
-
Chad H Bryan, LPC
-
Laurie K Doerner, LPC
-
Steven Richard Fair, LMSW
-
Andrew Gordon, LPC
-
Gerome Everett Hess, MSN, NP
-
Beverly Sharon Hull, PH.D.,L.P.
-
Laura Ann Kenny, LMSW
-
James Thomas King Sr., LMSW
-
Mark T Lauzon, LPC
-
Jayme Nicole Ledoux, LMSW
-
Pamela Ann Nadzan, LPC
-
Renee Place, LMSW
-
Tiffany Schall, LPC
-
Luke M Tolnai, PMHNP
-
Gloria S Waugh, MA, LPC
-
Gwenda Louise Young, LPC
-
Denise Hoffman, LMSW
-
Rebecca June Field, LPC
-
Terrence B Flint, LPC
-
Devon Frontczak, LMSW
-
Charissa Anne Isaacs, MA LPC
-
Nancy Maxwell, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051103000836 | MI | Part B Supplier - Clinic/Group Practice | 5496773863 |
Receives reassigned benefits from 32 practitioners Practice locations: Mount Clemens, MI; Port Huron, MI; Saginaw, MI; Midland, MI |
National Provider Directory
- Tax ID family
- Renewal Christian Counseling Center Inc
Locations
610 Adams St
Bay City, MI 48708
Phone (989) 244-1888
200 S Wenona St
Ste 194
Bay City, MI 48706
Phone (989) 894-9680
800 Washington Ave
Ste 100
Bay City, MI 48708
Phone (989) 244-1888
24401 Capital Blvd
Clinton Twp, MI 48036
Phone (586) 783-2950
3847 Pine Grove Ave
Ste B
Fort Gratiot, MI 48059
Phone (810) 984-2250
3899 24th Ave
Fort Gratiot, MI 48059
377 Fisher Rd
Ste C
Grosse Pointe, MI 48230
Phone (313) 355-4840
21336 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (586) 783-2950
5801 Griswold Rd
Kimball, MI 48074
Phone (810) 696-7339
4975 W Water St
Kimball, MI 48074
220 W Main St
Midland, MI 48640
Phone (989) 244-1888
5816 Eastman Ave
Midland, MI 48640
Phone (989) 244-1888
220 W Main St
Ste 206
Midland, MI 48640
Phone (989) 244-1888
100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950
100 Northbound Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 783-2950
2615 Hancock St
Port Huron, MI 48060
834 Chestnut St
Port Huron, MI 48060
2801 Vanness St
Port Huron, MI 48060
511 Fort St
Rm 505
Port Huron, MI 48060
1617 Holland Ave
Port Huron, MI 48060
2855 Michigan Rd
Port Huron, MI 48060
1221 Garfield St
Port Huron, MI 48060
200 32nd St
Port Huron, MI 48060
3525 24th St
Port Huron, MI 48060
6030 Bay Rd
Saginaw, MI 48604
Phone (989) 244-1888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | MI | ||
| Clinical Psychologist |
103TC0700X | MI | ||
| Clinical Social Worker |
1041C0700X | MI | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Mailing address
100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Phone (586) 783-2950
Other practice location 1
220 W Main St
Midland, MI 48640-5184
Phone (989) 244-1888
Other practice location 2
3847 Pine Grove Ave Ste B
Fort Gratiot, MI 48059-4265
Phone (810) 966-0099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 709144000 | Other | MI | MAGELLAN HEALTH SERVICES |
| 7509104850 | Other | MI | BCBSM - CT |
| 537803 | Other | MI | VALUE OPTIONS |
Other providers in Mount Clemens, MI
- Samuel P Reenders
- Regional Trauma Care PC
- Jorden Reid
- Richard A Reidy
- Renewal Christian Counseling Inc
- Renewal Christian Counseling Inc
- Amber Rentz
- Stephanie Rex
- Markiesha Reynolds
- Allyson Bowes Rivard
All providers in Mount Clemens, MI · Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.