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General NPI Number Information
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NPI Number | 1497175814
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Entity Type | Organization
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Legal Business Name | RENAISSANCE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 704 RUE MARSEILLE
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City | CHESAPEAKE
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State | VA
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Zip | 23320-6671
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Country | US
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Telephone | 757-270-6563
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Fax |
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Provider Business Mailing Address
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Address Line | 704 RUE MARSEILLE
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City | CHESAPEAKE
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State | VA
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Zip | 23320-6671
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Country | US
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Telephone | 757-270-6563
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR/OWNER
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Name | MRS. LASONYA GREEN
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Credential |
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Telephone | 757-270-6563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 38988
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License Number State | VA
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