Provider Demographics
NPI:1215371059
Name:RENEW COUNSELING CENTER
Entity Type:Organization
Organization Name:RENEW COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:SVACINA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-475-7108
Mailing Address - Street 1:3121 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-1716
Mailing Address - Country:US
Mailing Address - Phone:910-475-7108
Mailing Address - Fax:
Practice Address - Street 1:3121 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-1716
Practice Address - Country:US
Practice Address - Phone:910-475-7108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health