RENOVA WELLNESS CLINIC (NPI# 1306327275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306327275 |
| Entity Type | Organization |
| Organization Name | RENOVA WELLNESS CLINIC |
| Practice Address |
468 Park Grove Ln Katy TX 77450 |
| Mailing Address |
468 Park Grove Ln Katy TX 77450-1571 |
| Practice Telephone | 7134191226 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | LORRIANNE MORROW (OWNER) |
| Authorized Official Telephone | 7134191226 |
| Authorized Official Credential | LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
TX | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
TX | Behavioral Health & Social Service Providers |
| Street Address |
468 PARK GROVE LN |
| City | KATY |
| State | TX |
| Zip Code | 77450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| 1326595976 | Michelle Jeanea Collins | Counselor | 21834 Provincial Blvd, Katy, TX 77450 | 2016-09-01 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049993 | Sidney Bassett | Counselor | 3046 Glenthorpe Ln, Katy, TX 77494-4524 | 2020-09-27 |
| 1861000325 | Brittiny Brown | Counselor | 3078 View Valley Trl, Katy, TX 77493-4433 | 2020-07-21 |
| 1407464548 | Natalie Marie Staggers | Counselor | 3523 Brampton Island Dr, Katy, TX 77494-6774 | 2020-07-15 |
| 1659998250 | Pearl Fierro | Counselor | 10026 Western Pine Trl, Katy, TX 77494-5776 | 2020-06-29 |
| 1801417977 | Torrenzo Hoszie Moore | Counselor | 2818 Verdant Spring Trl, Katy, TX 77493-3209 | 2020-04-30 |
| 1467086306 | Monique Helene Watson | Counselor | 633 E Fernhurst Dr Ste 1304, Katy, TX 77450-1590 | 2020-03-01 |
| 1063059095 | Tom-luckie Gwagee | Counselor | 2330 Trotter Dr, Katy, TX 77493-3497 | 2019-12-10 |
| 1639713738 | Duckland Homes LLC | Counselor | 1906 Driver Green Ln, Katy, TX 77493-2340 | 2019-10-31 |
| 1255993192 | Chelsea Rae Mitchell | Counselor | 21606 Ivory Gate Ln, Katy, TX 77449 | 2019-07-01 |
| 1598323412 | Shammah Healthcare Services LLC | Counselor | 20635 Sycamore Crest Ln, Katy, TX 77449-2658 | 2019-06-05 |
| Find all providers in KATY | ||||
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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.