Provider Demographics
NPI:1679050959
Name:RENEW RELATIONSHIP COUNSELING, LLC
Entity Type:Organization
Organization Name:RENEW RELATIONSHIP COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-477-4084
Mailing Address - Street 1:697 W 725 S
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-5973
Mailing Address - Country:US
Mailing Address - Phone:801-380-4389
Mailing Address - Fax:
Practice Address - Street 1:815 W 450 S STE 110
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-2200
Practice Address - Country:US
Practice Address - Phone:801-477-4084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-19
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)