| Organization Name: | RENAISSANCE THERAPY & FORENSIC COUNSELING CENTER |
| NPI Number: | 1023041043 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL BLACK HAMAN (OWNER) |
| Mailing Address: | 200 Ezell St Spartanburg |
| State: | SC US |
| Postal Code: | 29306 |
| Phone Number: | 8645735956 |
| Fax Number: | 8645737353 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 4251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |