Provider Demographics
NPI:1679141972
Name:RENEWAL, GROWTH, & HEALING
Entity Type:Organization
Organization Name:RENEWAL, GROWTH, & HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DREAMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPADY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-901-1570
Mailing Address - Street 1:8545 PATTERSON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6455
Mailing Address - Country:US
Mailing Address - Phone:804-901-1570
Mailing Address - Fax:804-442-7111
Practice Address - Street 1:8545 PATTERSON AVE STE 201
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-6455
Practice Address - Country:US
Practice Address - Phone:804-901-1570
Practice Address - Fax:804-442-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty