Provider Demographics
NPI:1265242333
Name:RENEWAL COUNSELING CENTERS
Entity type:Organization
Organization Name:RENEWAL COUNSELING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MOTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, ALC, EMDR-T
Authorized Official - Phone:251-284-4188
Mailing Address - Street 1:110 W SECTION AVE
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3570
Mailing Address - Country:US
Mailing Address - Phone:251-284-4188
Mailing Address - Fax:
Practice Address - Street 1:110 W SECTION AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3570
Practice Address - Country:US
Practice Address - Phone:251-284-4188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No251S00000XAgenciesCommunity/Behavioral Health