Healthcare Provider Details

I. General information

NPI: 1790650570
Provider Name (Legal Business Name): RENEWAL HARBOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 2ND ST
DARLINGTON PA
16115-2813
US

IV. Provider business mailing address

460 BRADEN SCHOOL RD
BEAVER FALLS PA
15010-1608
US

V. Phone/Fax

Practice location:
  • Phone: 724-480-5608
  • Fax:
Mailing address:
  • Phone: 724-480-5608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HAYLEE SUTTER
Title or Position: THERAPIST
Credential: LCSW
Phone: 724-480-5608