MEDICARE: RENEW AND THRIVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1386511483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEW AND THRIVE LLC

Provider Business Mailing Address
First Line	:	1 E BROAD ST STE 130-1115
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-5913
Country	:	US
Telephone Number	:	866-496-0302
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E BROAD ST STE 130-1115
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-5913
Country	:	US
Telephone Number	:	866-496-0302
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	MAUGARETTE GERNS
Credential	:	L.C.S.W.
Telephone Number	:	610-657-3657

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/22/2025

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Directions to “RENEW AND THRIVE LLC ” Practice Location

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