Renew Counseling And Services
Social Worker, Clinical in Gainesville, VA. Organization (NPI-2).
NPI number1982118618
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1982118618
- Entity type
- Organization (NPI-2)
- Legal business name
- Renew Counseling And Services
- Organization subpart
- No
- Enumeration date
- Nov 16, 2017
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904008864 | VA | Yes |
Practice location
14540 John Marshall HighwayGainesville, VA 20155
Phone 703-831-3221
Mailing address
14540 John Marshall HwyGainesville, VA 20155-1691
Authorized official
Shaakira Simmonds
Therapist
9544452499
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