Provider Demographics
NPI:1023674389
Name:RENEW COUNSELING
Entity type:Organization
Organization Name:RENEW COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-649-4790
Mailing Address - Street 1:325 MAIN ST STE 155
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4922
Mailing Address - Country:US
Mailing Address - Phone:207-649-4790
Mailing Address - Fax:844-450-1757
Practice Address - Street 1:5 MAR VAL TER APT B4
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:ME
Practice Address - Zip Code:04901-6950
Practice Address - Country:US
Practice Address - Phone:207-649-4790
Practice Address - Fax:844-450-1757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty