| Renewal Life Counseling, Llc | |
|
522 Glenlea Ln Greenville SC 29617-1240 | |
| (864) 416-4560 | |
| (864) 236-7311 |
| Full Name | Renewal Life Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 522 Glenlea Ln, Greenville, South Carolina |
| Authorized Official Name and Position | Tamara Houston-hamilton (CLINICAL SOCIAL WORKE) |
| Authorized Official Contact | 8644164560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Life Counseling, Llc 522 Glenlea Ln Greenville SC 29617-1240 Ph: (864) 416-4560 | Renewal Life Counseling, Llc 522 Glenlea Ln Greenville SC 29617-1240 Ph: (864) 416-4560 |
| NPI Number | 1427426030 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Medicare PECOS PAC ID | 0345528477 |
|---|---|
| Medicare Enrollment ID | O20161025001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427426030 | NPI | - | NPPES |
| SW1252 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8450 (South Carolina) | Primary |
| Provider Name | Keith O Plowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205150943 PECOS PAC ID: 4082837794 Enrollment ID: I20140528000922 |
| Provider Name | Tamara N Houston-hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043618994 PECOS PAC ID: 5092024158 Enrollment ID: I20151013000448 |
| Provider Name | Lee A Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861890923 PECOS PAC ID: 8527323823 Enrollment ID: I20180606002735 |
| Provider Name | Anjanette Chege |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598328882 PECOS PAC ID: 9830429190 Enrollment ID: I20190930001147 |
| Provider Name | Shayla J Pickens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427425479 PECOS PAC ID: 7719384981 Enrollment ID: I20210930002608 |
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