Healthcare Provider Details

I. General information

NPI: 1700758471
Provider Name (Legal Business Name): RENEW COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E 7TH ST STE F
HAYS KS
67601-4907
US

IV. Provider business mailing address

2709 E 17TH ST
HAYS KS
67601-2734
US

V. Phone/Fax

Practice location:
  • Phone: 785-259-1869
  • Fax:
Mailing address:
  • Phone: 785-259-1869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARLIN BIRKEY
Title or Position: MENTAL HEALTH PROVIDER
Credential: LCPC
Phone: 785-259-1869