MEDICARE: RENZ COUNSELING, 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	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker	114402	MA

General Provider Information

NPI Number	:	1780001990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENZ COUNSELING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2
Second Line	:
City	:	SHARON
State	:	MA
Zip	:	02067-0002
Country	:	US
Telephone Number	:	339-364-8080
Fax Number	:	781-436-5829

Provider Business Practice Location Address
First Line	:	378 PAGE ST
Second Line	:	SUITE 6
City	:	STOUGHTON
State	:	MA
Zip	:	02072-1124
Country	:	US
Telephone Number	:	339-364-8080
Fax Number	:	781-436-5829

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	GEORGE C RENZ
Credential	:
Telephone Number	:	339-364-8080

Provider Enumeration Date	:	03/25/2014
Last Update Date	:	04/06/2026

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Directions to “RENZ COUNSELING, LLC ” Practice Location

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