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NPI Code Detail

MEDICARE: RENEWED PEACE AND HEALING THERAPY INC

MEDICARE: RENEWED PEACE AND HEALING THERAPY INC
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
1101YM0800XMental Health Counselor
2103TC1900XCounseling Psychologist
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1265189252
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENEWED PEACE AND HEALING THERAPY INC
Provider Business Mailing Address
First Line : 3816 MORTON DR
Second Line :
City : RICHMOND
State : VA
Zip : 23223-1275
Country : US
Telephone Number : 804-301-3854
Fax Number :
Provider Business Practice Location Address
First Line : 2807 N PARHAM RD
Second Line :
City : HENRICO
State : VA
Zip : 23294-4410
Country : US
Telephone Number : 804-301-3854
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : DR. ONZIE LUKE
Credential : LPC
Telephone Number : 804-410-1483
Provider Enumeration Date : 03/09/2022
Last Update Date : 03/18/2025

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Directions to “RENEWED PEACE AND HEALING THERAPY INC ” Practice Location

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