| Renu Mental Wellness Group | |
|
11500 Northwest Fwy # 304 Houston TX 77092-6530 | |
| (713) 408-7551 | |
| (713) 903-3944 |
| Full Name | Renu Mental Wellness Group |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 11500 Northwest Fwy # 304, Houston, Texas |
| Authorized Official Name and Position | Latonia Harrison (ADMINISTRATOR) |
| Authorized Official Contact | 2818883158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renu Mental Wellness Group 11500 Northwest Fwy # 304 Houston TX 77092-6530 Ph: (713) 408-7551 | Renu Mental Wellness Group 11500 Northwest Fwy # 304 Houston TX 77092-6530 Ph: (713) 408-7551 |
| NPI Number | 1699351205 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 6103292586 |
|---|---|
| Medicare Enrollment ID | O20221027000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699351205 | NPI | - | NPPES |
| Provider Name | Curtis G Laurence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669663118 PECOS PAC ID: 8628123528 Enrollment ID: I20090828000124 |
| Provider Name | Rahsheda Denise Perine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891096426 PECOS PAC ID: 1153556634 Enrollment ID: I20131109000312 |
| Provider Name | Gabriel Tan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073627477 PECOS PAC ID: 4688954936 Enrollment ID: I20161203000241 |
| Provider Name | Olaide Akinyinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932637097 PECOS PAC ID: 6103172986 Enrollment ID: I20180710000137 |
| Provider Name | Gena Csw Panatieri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740931971 PECOS PAC ID: 8022490192 Enrollment ID: I20220805001548 |
| Provider Name | Omolara Jowojori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851015325 PECOS PAC ID: 2860857786 Enrollment ID: I20230428000905 |
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