Provider Demographics
NPI:1659144673
Name:RENU ACP
Entity Type:Organization
Organization Name:RENU ACP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CIERRA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-652-9509
Mailing Address - Street 1:9729 OLDE MILBROOKE WAY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9220
Mailing Address - Country:US
Mailing Address - Phone:804-652-9509
Mailing Address - Fax:866-622-7868
Practice Address - Street 1:9729 OLDE MILBROOKE WAY
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-9220
Practice Address - Country:US
Practice Address - Phone:804-652-9509
Practice Address - Fax:866-622-7868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty