| Renewal Counseling & Consulting, Llc | |
|
4914 Fitzhugh Ave Ste 101 Richmond VA 23230 | |
| (804) 213-2662 | |
| (888) 855-4860 |
| Full Name | Renewal Counseling & Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4914 Fitzhugh Ave Ste 101, Richmond, Virginia |
| Authorized Official Name and Position | Rashika Nelson Wallace (OWNER/CLINICIAN) |
| Authorized Official Contact | 8042132662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Counseling & Consulting, Llc Po Box 18362 Richmond VA 23226-8362 Ph: (804) 213-2662 | Renewal Counseling & Consulting, Llc 4914 Fitzhugh Ave Ste 101 Richmond VA 23230 Ph: (804) 213-2662 |
| NPI Number | 1235647041 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Medicare PECOS PAC ID | 1759642952 |
|---|---|
| Medicare Enrollment ID | O20180811000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235647041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008492 (Virginia) | Primary |
| Provider Name | Rashika N Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487960985 PECOS PAC ID: 2860716511 Enrollment ID: I20150128002065 |
| Provider Name | Michon Blowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083091656 PECOS PAC ID: 6204165590 Enrollment ID: I20240322002018 |
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