| Organization Name: | RENU CHILDREN AND FAMILY COUNSELING, LLC |
| NPI Number: | 1700241411 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT LEE SANDERS (LICENSED PROFESSIONAL COUNSELOR/ OW) |
| Mailing Address: | 1953 Woodchuck Way Hephzibah |
| State: | GA US |
| Postal Code: | 308157948 |
| Phone Number: | 7062842382 |
| Fax Number: | 7629940885 |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | LPC006452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |