RENEW COUNSELING CENTER (NPI# 1417586355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417586355 |
| Entity Type | Organization |
| Organization Name | RENEW COUNSELING CENTER |
| Practice Address |
1002 Las Rosas Ave Clovis CA 93619-7937 |
| Practice Telephone | 5595933570 |
| Practice Fax Number | 8778945104 |
| Mailing Telephone | 5595933570 |
| Mailing Fax Number | 8778945104 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | SILVA SHEKLANIAN (OWNER) |
| Authorized Official Telephone | 5595933570 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LMFT LICENSE | 1177991 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215371059 | Renew Counseling Center | Community/Behavioral Health | 3121 N Main St, Hope Mills, NC 28348-1716 | 2013-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Renew Counseling Center LLC | 4657 W 20th St, Unit C, Greeley, CO 80634 |
| Ohio Business Entities | RENEW COUNSELING CENTERS, LLC | 100 Broadway Ave, Youngstown, OH 44505 |
| Street Address |
1002 LAS ROSAS AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93619-7937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
| 1063828960 | Rose Scott | Rehabilitation Practitioner | 3675 Richmond Avenue, Clovis, CA 93619 | 2014-07-11 |
| 1538458237 | Paula Y. Mouanoutoua | Pharmacist | 1544 N. Cherrylane, Clovis, CA 93619 | 2011-04-04 |
| 1114041795 | Anagha Pathak | Contractor | 776 W Siena Ln, Clovis, CA 93619 | 2007-03-19 |
| 1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
| 1285771238 | Iulia Vorobchevici | Dentist | 1305 N Willow Ave, Suite 110, Clovis, CA 93619 | 2007-01-31 |
| 1316194368 | Carlo Magno Arriba Paderna | Dentist | 1627 N Karen Ave, Clovis, CA 93619-0406 | 2008-08-21 |
| 1871952317 | Brenda Louise Munoz | Physical Therapy Assistant | 513 W Prescott Ave, Clovis, CA 93619-0423 | 2016-02-12 |
| 1023277126 | Rosa Petrosian | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2008-06-03 |
| 1831463330 | H & A Medical Transportation | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2012-02-29 |
| Find all providers in zip 93619 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693187 | Gregory L. Tanner | Marriage & Family Therapist | 2121 Herndon Ave, Clovis, CA 93611-6302 | 2020-09-12 |
| 1922629310 | Donna Dodd | Marriage & Family Therapist | 1111 Polson Ave, Clovis, CA 93612-0450 | 2020-04-27 |
| 1568005551 | Karen Huckaby | Marriage & Family Therapist | 150 Clovis Ave Ste 204, Clovis, CA 93612-1167 | 2019-10-22 |
| 1851869424 | Maryanita Price | Marriage & Family Therapist | 3223 Monviso Ln, Clovis, CA 93619-5411 | 2018-11-12 |
| 1215416391 | Samantha Lewis | Marriage & Family Therapist | 530 Dewitt Ave Ste 101, Clovis, CA 93612-1857 | 2018-08-09 |
| 1093257271 | Julie Ann Barrett | Marriage & Family Therapist | 1049 N Citadel Ave, Clovis, CA 93611-6765 | 2016-11-05 |
| 1962896654 | Deborah Tobias Gatewood | Marriage & Family Therapist | 2788 Scott Ave, Clovis, CA 93611-6975 | 2015-03-20 |
| 1376947069 | Vania Djavid | Marriage & Family Therapist | 1715 Glen Kippen Ln, Clovis, CA 93619-2870 | 2014-10-09 |
| 1881093078 | Candice Marie Newsum | Marriage & Family Therapist | 2381 Ryan Ave, Clovis, CA 93611-5079 | 2014-08-14 |
| 1588926893 | Cynthia V. Gallegos | Marriage & Family Therapist | 516 Villa Ave, Suite 3 & 28, Clovis, CA 93612-7605 | 2012-06-12 |
| Find all providers in CLOVIS | ||||
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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.