MEDICARE: RENAISSANCE COUNSELING AND EVALUATION SERVICES, PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770435836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAISSANCE COUNSELING AND EVALUATION SERVICES, PLLC

Provider Business Mailing Address
First Line	:	15 OREGON AVE STE 101
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-7461
Country	:	US
Telephone Number	:	253-247-1317
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 OREGON AVE STE 101
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98409-7461
Country	:	US
Telephone Number	:	253-247-1317
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	DR. DR. HOLSEY SATTERWHITE
Credential	:	LICSW
Telephone Number	:	253-247-1317

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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