Renu Children and Family Counseling, LLC

Primary specialty

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

License

LPC006452 Issued in GA

Legal business name

RENU CHILDREN AND FAMILY COUNSELING, LLC

Practice address

1953 Woodchuck Way
Hephzibah, GA 30815-7948

Phone

(706) 284-2382

Fax

(762) 994-0885

NPI assigned

Dec 22, 2015

Last updated

Dec 22, 2015By 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

Mr. Robert Lee Sanders, LPCNPI 1841563988

Title

Licensed Professional Counselor/ Ow

Phone

(706) 284-2382

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.

• Robert L Sanders, LPC

  • Community Health Worker
  • Hephzibah, GA
  • NPI 1841563988
  NPD (past) Authorized official

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1700241411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DAVIS RD",
            "address_2": "SUITE 3A",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070200",
            "telephone_number": "762-994-0882",
            "fax_number": "762-994-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 WOODCHUCK WAY",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157948",
            "telephone_number": "706-284-2382",
            "fax_number": "762-994-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU CHILDREN AND FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/ OW",
        "authorized_official_telephone_number": "706-284-2382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "LPC006452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmitt M Pruitt, PHARM.D
• Psych Is Life LLC
• Willie Mae Berry Pugh
• Raiford Campbell Ready
• Julie Ordelt Reeves, PT
• Tahirah Yvette Rivera
• RN on Wheels-Mobilized Diagnostic Testing & Healthcare Service
• Jacqueline Yvette Rogers, RN BSN
• Darlene Rozier
• Robert L Sanders, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.