Renew 360 Support Services Inc

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

RENEW 360 SUPPORT SERVICES INC

Practice address

2631 Lucena St
Charlotte, NC 28206-2109

Phone

(704) 277-3538

Fax

(704) 277-3538

NPI assigned

Dec 19, 2025

Organization subpart

No

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

Authorized official

Name

Lagina McClinton

Title

Owner

Phone

(704) 277-3538

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1942165048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 LUCENA ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062109",
            "telephone_number": "704-277-3538",
            "fax_number": "704-277-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 LUCENA ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062109",
            "telephone_number": "704-277-3538",
            "fax_number": "704-277-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW 360 SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MCCLINTON",
        "authorized_official_first_name": "LAGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-277-3538"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Philip Renaldo, M.D.
• Stefan Renaud, D.O.
• Nina Renders
• Jahaziel Rendon, PA
• Renee Beauregard, PLLC
• Renew Health South
• Renew Project LLC
• Renew Support Services PLLC
• Renewed & Restored LLC
• Renewed Axis Telehealth PLLC

• Peer Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.