MEDICARE: RENEWAL CHRISTIAN COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0701007912	OTHER	VA	BOARD OF COUNSELING

General Provider Information

NPI Number	:	1053887877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWAL CHRISTIAN COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	3606 BOULEVARD STE B
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1341
Country	:	US
Telephone Number	:	804-505-4869
Fax Number	:

Provider Business Practice Location Address
First Line	:	3606 BOULEVARD STE B
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1341
Country	:	US
Telephone Number	:	804-505-4869
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TOY NEWCOMB
Credential	:	LPC
Telephone Number	:	804-505-4869

Provider Enumeration Date	:	10/18/2018
Last Update Date	:	10/18/2018

Similar Medicare Providers

1164508420 — PAMELA ANN WAITKUS LPC LMFT
Practice Location Address:

3606 BOULEVARD , SUITE B
COLONIAL HEIGHTS, VA
23834-1341

Practice Phone: 804-526-9885
Practice Fax: 804-526-9884

1801060355 — WAITKUS & ASSOCIATES, P.C.
Practice Location Address:

3606 BOULEVARD , SUITE B
COLONIAL HEIGHTS, VA
23834-1341

Practice Phone: 804-526-9885
Practice Fax: 804-526-9884

1992292627 — S. WASHINGTON, LLC
Practice Location Address:

3606 BOULEVARD STE D
COLONIAL HEIGHTS, VA
23834-1341

Practice Phone: 302-593-3487
Practice Fax: 804-251-1416

1154406916 — MS. JOANNE PIERRE NP
Practice Location Address:

3334 80TH ST
JACKSON HEIGHTS, NY
11372-1341

Practice Phone: 718-335-3823
Practice Fax: 718-335-5136

1770654493 — MRS. MARLEEN LOUISE BURNS ARNP
Practice Location Address:

333 SALEM PL
FAIRVIEW HEIGHTS, IL
62208-1341

Practice Phone: 618-632-0304
Practice Fax:

1164647301 — MRS. TIESHA SHAREASE DEBARDELABEN LPN
Practice Location Address:

1453 WESTOVER RD
CLEVELAND HEIGHTS, OH
44118-1341

Practice Phone: 216-320-9662
Practice Fax:

Directions to “RENEWAL CHRISTIAN COUNSELING, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.