Jenny Renville, MA, LCMHC, NCC is a
Counselor - Mental Health based in Charlotte, North Carolina. Jenny Renville is licensed to practice in North Carolina (license number ) and her current practice location is
6201 Fairview Rd Ste 200, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 899-1555.
NPI number for Jenny Renville is 1124670500 and her current mailing address is Po Box 242363, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124670500.
Healthcare Provider's Profile
Full Name | Jenny Renville |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6201 Fairview Rd Ste 200, Charlotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124670500
- Provider Enumeration Date: 07/15/2019
- Last Update Date: 05/19/2022
Medical Identifiers
Medical identifiers for Jenny Renville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124670500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
174H00000X | Health Educator | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenny Renville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jenny Renville, MA, LCMHC, NCC Po Box 242363, Charlotte, NC 28224-2363 Ph: (704) 277-9009 | Jenny Renville, MA, LCMHC, NCC 6201 Fairview Rd Ste 200, Charlotte, NC 28210-3297 Ph: (704) 899-1555 |
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