Provider Demographics
NPI:1942829023
Name:RENEWED WELLNESS COUNSELING, PLLC
Entity Type:Organization
Organization Name:RENEWED WELLNESS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, LCAS/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCAS
Authorized Official - Phone:252-505-8150
Mailing Address - Street 1:3537 M L KING JR BLVD # 215
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2209
Mailing Address - Country:US
Mailing Address - Phone:252-505-8150
Mailing Address - Fax:252-214-6278
Practice Address - Street 1:3537 M L KING JR BLVD # 215
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2209
Practice Address - Country:US
Practice Address - Phone:252-505-8150
Practice Address - Fax:252-214-6278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty