Renew Family Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RENEW FAMILY COUNSELING

Practice address

8613 Old Kings Rd S
Suite 601
Jacksonville, FL 32217-4807

Phone

(912) 674-9046

Fax

(912) 673-8853

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Demetrius Gonzalez

Title

Ceo

Phone

(912) 674-9046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1730456070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GREENBRIAR RD",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315485445",
            "telephone_number": "912-674-9046",
            "fax_number": "912-673-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 OLD KINGS RD S",
            "address_2": "SUITE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174807",
            "telephone_number": "912-674-9046",
            "fax_number": "912-673-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-674-9046"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renata Drukh Psychology LLC
• Tara Renbeck
• Larry Darnell Rencher
• Hope Rendell, RBT
• Orlando Villlanueva Rendon, M.D.
• Renew Wound Care of Florida LLC
• Johnathan Renew, MD
• Renewed Horizons Psychiatry PLLC
• Renewed Purpose Mental Health Care, LLC
• William Renfro, PHARM. D.

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.