| Renaissance Counseling Service Inc. | |
|
5563 Woodmill Circle (home/business Office For Administ Brecksville OH 44141-1775 | |
| (440) 243-0530 | |
| (440) 237-3626 |
| Full Name | Renaissance Counseling Service Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5563 Woodmill Circle (home/business Office For Administ, Brecksville, Ohio |
| Authorized Official Name and Position | Abu Nasir Syed (PRESIDENT/OWNER) |
| Authorized Official Contact | 4402430530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Counseling Service Inc. P.o. Box 598 Columbia Station OH 44028-0598 Ph: (440) 243-0530 | Renaissance Counseling Service Inc. 5563 Woodmill Circle (home/business Office For Administ Brecksville OH 44141-1775 Ph: (440) 243-0530 |
| NPI Number | 1780779793 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Medicare PECOS PAC ID | 6204729437 |
|---|---|
| Medicare Enrollment ID | O20040203000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780779793 | NPI | - | NPPES |
| 0114521 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Traci L Veach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548325913 PECOS PAC ID: 2062510233 Enrollment ID: I20070612000366 |
| Provider Name | Marilyn A Culley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356593750 PECOS PAC ID: 3476699083 Enrollment ID: I20091013000566 |
| Provider Name | Abu Nasir Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902909500 PECOS PAC ID: 9830082064 Enrollment ID: I20120126000436 |
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