RENEWED LIFE CHRISTIAN COUNSELING CENTER INC (NPI# 1598039794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598039794 |
| Entity Type | Organization |
| Organization Name | RENEWED LIFE CHRISTIAN COUNSELING CENTER INC |
| Practice Address |
3135 Summit Bridge Rd Bear DE 19701-2001 |
| Mailing Address |
34 Dalton Dr Newark DE 19702-2059 |
| Practice Telephone | 3024640515 |
| Practice Fax Number | 3024547274 |
| Mailing Telephone | 3024640515 |
| Mailing Fax Number | 3024547274 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | MR. GRANT R HASTY (CEO/PRESIDENT) |
| Authorized Official Telephone | 3024640515 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 103TP2701X | DE | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000035733 | 05 | |
| DE | 1972520534 | 05 |
| Street Address |
3135 SUMMIT BRIDGE RD |
| City | BEAR |
| State | DE |
| Zip Code | 19701-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972520534 | Renewed Life Christian Counseling Center | Social Worker | 3135 Summit Bridge Rd, Bear, DE 19701-2001 | 2006-07-17 |
| 1972898641 | Ruth A Burton | Social Worker | 3135 Summit Bridge Rd, Bear, DE 19701-2001 | 2011-06-10 |
| 1053509737 | Grant R Hasty | Social Worker | 3135 Summit Bridge Rd, Bear, DE 19701-2001 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165427 | Delaware Dental Solutions LLC | Dentist | 131 Becks Woods Dr., Bear, DE 19701 | 2019-10-08 |
| 1174004345 | The Life Center Complex, Inc. | Clinic/Center | 4050 Wrangle Hill Rd, Bear, DE 19701 | 2018-08-27 |
| 1124513270 | Shanila Shagufta | Psychiatry & Neurology | 434 Roger Chaffee Sq., Bear, DE 19701 | 2018-06-29 |
| 1932614393 | Steps Center LLC | Home Health | 14 S Saint George Ter, Bear, DE 19701 | 2017-12-07 |
| 1467978205 | Ijn Health Systems, LLC | Home Health | 603 Parkman Court, Bear, DE 19701 | 2017-08-14 |
| 1992226922 | Sharon Thebe | Nurse Practitioner | 30 Printz Drive, Bear, DE 19701 | 2017-06-29 |
| 1003286287 | Prosperous, LLC | Specialist | 131 Becks Woods Drive, Bear, MD 19701 | 2015-10-01 |
| 1881075695 | Yvette Pendleton | Technician, Pathology | 30 Lotus Circle N, Bear, DE 19701 | 2015-06-17 |
| 1639574692 | Nicole Sult | Counselor | 516 Daniels Ct, Bear, DE 19701 | 2014-11-01 |
| 1528498797 | Advanced Behavior Treatment, LLC | Community/Behavioral Health | 9 Willhelen Ct, Bear, DE 19701 | 2013-11-25 |
| Find all providers in zip 19701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528498797 | Advanced Behavior Treatment, LLC | Community/Behavioral Health | 9 Willhelen Ct, Bear, DE 19701 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132193 | Catrina Stiller, LLC | Community/Behavioral Health | 1632 Savannah Rd Ste 9, Lewes, DE 19958-1659 | 2020-10-21 |
| 1891307070 | Aviva Health Care Services Inc | Community/Behavioral Health | 6 Denny Rd Ste 104, Wilmington, DE 19809-3444 | 2020-08-19 |
| 1033735592 | Matters Behavioral Services | Community/Behavioral Health | 704 Melvin Ct, Townsend, DE 19734-3027 | 2020-06-22 |
| 1679192926 | Wraparound Maryland, Inc | Community/Behavioral Health | 105 Rogers Rd Ste A, Wilmington, DE 19801-5619 | 2020-04-15 |
| 1457983165 | Alapocas Collaborative Care, LLC | Community/Behavioral Health | 1601 Concord Pike Ste 66-68, Wilmington, DE 19803-3612 | 2020-02-11 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1497307177 | Madison Adoption Associates, Ltd. | Community/Behavioral Health | 1102 Society Dr, Claymont, DE 19703-1780 | 2019-07-12 |
| 1528629565 | Blue Skies Counseling | Community/Behavioral Health | 216 N Race St, Georgetown, DE 19947-1409 | 2019-06-20 |
| 1457824369 | Ella Stanley Therapeutic Services, Inc. | Community/Behavioral Health | 1000 N West St Ste 1294, Wilmington, DE 19801-1050 | 2019-01-03 |
| 1245752765 | Janelle G. Evans LLC | Community/Behavioral Health | 27 Tamarack Ave, Wilmington, DE 19805-5049 | 2017-07-17 |
| Find all providers with the same taxonomy | ||||
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| 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.