| Renew Wellness Llc | |
|
287 W Johnstown Rd Columbus OH 43230-2732 | |
| (614) 305-5102 | |
| Not Available |
| Full Name | Renew Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 287 W Johnstown Rd, Columbus, Ohio |
| Authorized Official Name and Position | Christina Jones (OFFICE MANAGER) |
| Authorized Official Contact | 6143055102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Wellness Llc 287 W Johnstown Rd Columbus OH 43230-2732 Ph: (614) 305-5102 | Renew Wellness Llc 287 W Johnstown Rd Columbus OH 43230-2732 Ph: (614) 305-5102 |
| NPI Number | 1235744400 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 0547673618 |
|---|---|
| Medicare Enrollment ID | O20210108002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235744400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anna C Schott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366633729 PECOS PAC ID: 6800983859 Enrollment ID: I20071107000602 |
| Provider Name | Cassandra M Starinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871725911 PECOS PAC ID: 4082742051 Enrollment ID: I20100512000594 |
| Provider Name | Katelyn Audia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356825038 PECOS PAC ID: 4385020726 Enrollment ID: I20221007001556 |
| Provider Name | Keith Tremblay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225262405 PECOS PAC ID: 2264876754 Enrollment ID: I20240223001698 |
| Provider Name | Krystal Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851899702 PECOS PAC ID: 5193160513 Enrollment ID: I20240226001294 |
| Provider Name | Rachel Velishek |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1831459494 PECOS PAC ID: 8224473939 Enrollment ID: I20240304001171 |
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