Healthcare Provider Details

I. General information

NPI: 1265189252
Provider Name (Legal Business Name): RENEWED PEACE AND HEALING THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 N PARHAM RD
HENRICO VA
23294-4410
US

IV. Provider business mailing address

3816 MORTON DR
RICHMOND VA
23223-1275
US

V. Phone/Fax

Practice location:
  • Phone: 804-301-3854
  • Fax:
Mailing address:
  • Phone: 804-301-3854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. ONZIE LUKE
Title or Position: CO-OWNER
Credential: LPC
Phone: 804-410-1483