Active NPI
Reneze Trim
- Counselor
- Lagrange, GA
National Provider Identifier
1861934564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- APC010223
- Practice address
- 122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754 - Phone
- (706) 845-4045
- Fax
- (706) 845-4367
- NPI assigned
- Nov 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC010223 | GA | Primary |
Addresses
Primary practice location
122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Mailing address
6207 Merrick Dr
Peachtree City, GA 30269-6674
Phone (407) 201-0626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC010223 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Recovery Centers, Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1669625182
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1861934564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6207 MERRICK DR",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302696674",
"telephone_number": "407-201-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 GORDON COMMERCIAL DR STE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405754",
"telephone_number": "706-845-4045",
"fax_number": "706-845-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIM",
"first_name": "RENEZE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-11",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "GA",
"license": "APC010223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, GA
- Total Healthcare of Lagrange, LLC
- Total Renal Care Inc (Troup County Dialysis)
- Tina Le Tran
- Tree of Life in Home Care LLC
- Tree of Life Incorporated
- Troup Cares, Inc.
- Troup County Board of Health (Troup County Health Department)
- Troup County Board of Health (District Four Health Services)
- Troup County Emergency Medical Services Inc (American Medical Response)
- Troup County School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.