Provider Demographics
NPI:1225717457
Name:RENEWAL CHRISTIAN COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:RENEWAL CHRISTIAN COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THURMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-614-4786
Mailing Address - Street 1:318 BLUE RIDGE GAP RD
Mailing Address - Street 2:
Mailing Address - City:RABUN GAP
Mailing Address - State:GA
Mailing Address - Zip Code:30568-2919
Mailing Address - Country:US
Mailing Address - Phone:706-614-4786
Mailing Address - Fax:855-945-3795
Practice Address - Street 1:95 GOLDEN HILLS DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:MOUNTAIN CITY
Practice Address - State:GA
Practice Address - Zip Code:30562
Practice Address - Country:US
Practice Address - Phone:706-614-4786
Practice Address - Fax:855-945-3795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty