Renaissance Counseling Center

LBN: Renaissance Counseling Center
Renaissance Counseling Center is an health care organization with primary practice located at 11070 David St , Gulfport MS 39503-3481. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Renaissance Counseling Center can be contacted via phone (228) 832-9191, or through Cruso, Brenda G via phone (228) 832-9191.

Contact Information

Primary practice address
11070 David St Gulfport MS 39503-3481
Fax: (228) 832-9150
Website:
Authorized official contact:
Name: Cruso, Brenda G

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2190 Mississippi

Profile Details

NPI number 1689684102
LBN Legal business name Renaissance Counseling Center
DBA Doing business as
Authorized official Cruso, Brenda G
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689684102 NPPES
Mississippi MEDICAID 09014941

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