RENEWAL CHRISTIAN COUNSELING INC (NPI# 1003475617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003475617 |
Entity Type | Organization |
Organization Name | RENEWAL CHRISTIAN COUNSELING INC |
Practice Address |
100 Nb Gratiot Ave Mount Clemens MI 48043-2301 |
Practice Telephone | 5867832950 |
Practice Fax Number | 5866904333 |
Mailing Telephone | 5867832950 |
Mailing Fax Number | 5866904333 |
Enumeration Date | 2019-06-07 |
Last Update Date | 2019-06-07 |
Authorized Official Name | ABIGAIL R SCHMIDT (BILLING MANAGER) |
Authorized Official Telephone | 5867832950 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548211535 | Renewal Christian Counseling Inc | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2006-05-13 |
1548648322 | Renewal Christian Counseling Inc | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2015-05-12 |
Street Address |
100 NB GRATIOT AVE |
City | MOUNT CLEMENS |
State | MI |
Zip Code | 48043-2301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548211535 | Renewal Christian Counseling Inc | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2006-05-13 |
1013576446 | Terrence B Flint | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2019-06-10 |
1114467479 | Arielle Ciampichini-trojanek | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2017-03-06 |
1588108047 | Yvette Rene Caldwell | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043 | 2016-12-16 |
1235510017 | Jacqueline Gray | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2015-06-17 |
1548648322 | Renewal Christian Counseling Inc | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2015-05-12 |
1780921932 | Tierra J Emerson | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2013-01-08 |
1346592938 | Necole N Jamison | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2012-10-08 |
1376824359 | Alana M Brayboy | Counselor | 100 Nb Gratiot Ave, Mount Clemens, MI 48043-2301 | 2011-09-02 |
1447461298 | Janet M Smith | Social Worker | 100 Nb Gratiot Ave, Mount Clemens, MI 48043 | 2007-05-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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---|---|---|---|---|
1952808545 | Secretkeepers Pllc | Clinic/Center | 311 S Gratiot Ave, Mount Clemens, MI 48043-2480 | 2018-04-10 |
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1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
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City | MOUNT CLEMENS |
Zip Code | 48043 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.