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General NPI Number Information
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NPI Number | 1902412216
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Entity Type | Organization
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Legal Business Name | RENEWING ME BEHAVIORAL HEALTH SOLUTIONS, LLC.
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 8911 CLEMENT AVE STE A&C
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City | PARKVILLE
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State | MD
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Zip | 21234-2603
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Country | US
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Telephone | 443-442-6804
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Fax | 443-442-6084
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Provider Business Mailing Address
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Address Line | 8911 CLEMENT AVE STE A&C
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City | PARKVILLE
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State | MD
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Zip | 21234-2603
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Country | US
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Telephone | 443-442-6804
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Fax | 443-442-6084
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. STACY LEE-ANN PLEAZE
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Credential | LCSW-C
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Telephone | 410-782-9540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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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 | 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 #3
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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 #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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