Healthcare Provider Details

I. General information

NPI: 1043861222
Provider Name (Legal Business Name): RENEWING STRENGTH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2019
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4509 S 6TH ST STE 310
KLAMATH FALLS OR
97603-4883
US

IV. Provider business mailing address

14625 CHEYNE RD
KLAMATH FALLS OR
97603-9700
US

V. Phone/Fax

Practice location:
  • Phone: 541-891-5778
  • Fax:
Mailing address:
  • Phone: 541-281-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE ROHRBACKER
Title or Position: OWNER
Credential: LCSW
Phone: 541-281-7330