Provider Demographics
NPI:1083186928
Name:RENEWING ME BEHAVIORAL HEALTH SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:RENEWING ME BEHAVIORAL HEALTH SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LEE-ANN
Authorized Official - Last Name:PLEAZE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:443-442-6804
Mailing Address - Street 1:PO BOX 8570
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-0570
Mailing Address - Country:US
Mailing Address - Phone:410-782-9540
Mailing Address - Fax:
Practice Address - Street 1:8911 CLEMENT AVE STE A
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-2603
Practice Address - Country:US
Practice Address - Phone:443-442-6804
Practice Address - Fax:443-442-6084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health