RENAISSANCE RECOVERY CENTER LLC (NPI# 1386902765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386902765 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE RECOVERY CENTER LLC |
| Practice Address |
459 N Gilbert Rd Suite B140 Gilbert AZ 85234-4591 |
| Practice Telephone | 4806321345 |
| Practice Fax Number | 4806321354 |
| Mailing Telephone | 4806321345 |
| Mailing Fax Number | 4806321354 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MR. STEVEN RALLIS BROWN (OWNER) |
| Authorized Official Telephone | 4806321345 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
459 N GILBERT RD SUITE B140 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-4591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043299191 | Connie Ann Neal | Nurse Practitioner | 459 N Gilbert Rd, Suite D-160, Gilbert, AZ 85234-4591 | 2006-01-16 |
| 1285945923 | Thomas G Schramski | Psychologist | 459 N Gilbert Rd, Suite A148, Gilbert, AZ 85234-4591 | 2010-06-28 |
| 1356590368 | Az-ahc, Inc | Preferred Provider Organization | 459 N Gilbert Rd, Suite C-120, Gilbert, AZ 85234-4591 | 2008-09-15 |
| 1750564597 | Az-ahc,inc. | Home Health | 459 N Gilbert Rd, Suite C120, Gilbert, AZ 85234-4591 | 2007-12-17 |
| 1649390709 | Neerja Sethi | Nurse Practitioner | 459 N Gilbert Rd, Suite D-160, Gilbert, AZ 85234-4591 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821625740 | Joshua Kee Simpson | Counselor | 1515 N Gilbert Rd Ste 107, #114, Gilbert, AZ 85234-2504 | 2020-03-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1285089177 | Steven Bryant Smith | Counselor | 4034 E Los Altos Dr, Gilbert, AZ 85297-3567 | 2016-04-27 |
| 1124402896 | Charles Fenigstein | Counselor | 1410 W Coral Reef Dr, Gilbert, AZ 85233-6106 | 2015-07-13 |
| 1821401514 | Laurel Rettle | Counselor | 4150 E Harvard Ave, Gilbert, AZ 85234-7562 | 2014-06-10 |
| 1710250923 | Sherri Bernadette Martin | Counselor | 4151 E Sheffield Ave, Gilbert, AZ 85296-2384 | 2012-02-18 |
| 1255634317 | Lisa Tapia | Counselor | 230 E Civic Center Dr Apt 2035, Gilbert, AZ 85296-0101 | 2010-12-13 |
| 1306146410 | Kimberly Anne Miller | Counselor | 3323 E Merlot St, Gilbert, AZ 85298-9083 | 2010-10-25 |
| 1649580317 | Scott Richard Payne | Counselor | 1400 N. Gilbert Rd., Suite: P, Gilbert, AZ 85234 | 2010-10-15 |
| 1558693473 | Melody Lee Brimhall | Counselor | 207 N Gilbert Rd Ste 107, Gilbert, AZ 85234-5814 | 2010-02-02 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on RENAISSANCE RECOVERY CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.