Provider Demographics
NPI:1962822734
Name:RENEWING ME COUNSELING & CONSULTING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:RENEWING ME COUNSELING & CONSULTING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LEE-ANN
Authorized Official - Last Name:PLEAZE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:410-782-9540
Mailing Address - Street 1:42 WAVE DANCER CT
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-6100
Mailing Address - Country:US
Mailing Address - Phone:410-782-9540
Mailing Address - Fax:803-417-4073
Practice Address - Street 1:42 WAVE DANCER CT
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-6100
Practice Address - Country:US
Practice Address - Phone:410-782-9540
Practice Address - Fax:803-417-4073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC120191041C0700X
NCC0079741041C0700X
MD138021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDAY41OtherCARE FIRST BLUE CROSS
MD061533100Medicaid
NC6009222Medicaid
SCGP7846Medicaid
NC6009222Medicaid