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General NPI Number Information
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NPI Number | 1871250357
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Entity Type | Organization
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Legal Business Name | RENEW YOU THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2123 SOUTHPOINT LN
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City | NEW LONDON
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State | NC
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Zip | 28127-9155
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Country | US
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Telephone | 336-892-9945
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Fax |
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Provider Business Mailing Address
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Address Line | 2123 SOUTHPOINT LN
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City | NEW LONDON
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State | NC
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Zip | 28127-9155
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Country | US
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Telephone | 704-322-1023
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CLINICIAN
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Name | DAWN SWANTKO
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Credential | LCMHC, LPC, LCASA
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Telephone | 704-322-1023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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