MEDICARE: RENAISSANCE MENTAL HEALTH

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	:	1841163862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAISSANCE MENTAL HEALTH

Provider Business Mailing Address
First Line	:	320 JACKSON HILL ST APT 132
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-7446
Country	:	US
Telephone Number	:	713-955-8829
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 HEIGHTS BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2552
Country	:	US
Telephone Number	:	713-955-8829
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LORI BELL
Credential	:	LCSW
Telephone Number	:	816-223-2231

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	10/08/2025

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Directions to “RENAISSANCE MENTAL HEALTH ” Practice Location

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