Renaissance Counseling Llc

LBN: Charles R Obannon
Renaissance Counseling Llc is an health care organization with primary practice located at 31090 Se Division Dr , Troutdale OR 97060-9451. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Charles R Obannon can be contacted via phone (503) 618-8041, or through O'Bannon, Charles Richard via phone (503) 618-8041.

Contact Information

Primary practice address
31090 Se Division Dr Troutdale OR 97060-9451
Phone: (503) 618-8041
Fax: (503) 618-8052
Website:
Map and Directions
Authorized official contact:
Name: O'Bannon, Charles Richard PH.D.
Phone: (503) 618-8041

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1720496730
LBN Legal business name Charles R Obannon
DBA Doing business as Renaissance Counseling Llc
Authorized official O'Bannon, Charles Richard PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2014
Last updated Sep 25th, 2015 - about 10 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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