MEDICARE: RENASCI COUNSELING SERVICES, 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

General Provider Information

NPI Number	:	1912881087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENASCI COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	8905 SHAVER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-5919
Country	:	US
Telephone Number	:	915-217-3411
Fax Number	:

Provider Business Practice Location Address
First Line	:	8905 SHAVER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-5919
Country	:	US
Telephone Number	:	915-217-3411
Fax Number	:

Authorized Official
Title or Position	:	LPC
Name	:	VERONICA ALVAREZ-VASQUEZ
Credential	:	LPC
Telephone Number	:	915-217-3411

Provider Enumeration Date	:	08/02/2025
Last Update Date	:	11/10/2025

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