Renaissance Behavioral Health Llc
LBN: Renaissance Behavioral Health Llc
Renaissance Behavioral Health Llc is an health care organization with primary practice located at 3740 Euclid Ave Ste 101 , Cleveland OH 44115-2229. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Renaissance Behavioral Health Llc can be contacted via phone (440) 606-2003, or through Clark, Kimberly Tenita via phone (440) 606-2003.
Contact Information
Primary practice address
3740 Euclid Ave Ste 101
Cleveland OH 44115-2229
Phone: (440) 606-2003
Fax:
Website:
Authorized official contact:
Name: Clark, Kimberly Tenita Certified Nurse Practitioner (CNP)
Phone: (440) 606-2003
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1376165639 |
|---|---|
| LBN Legal business name | Renaissance Behavioral Health Llc |
| DBA Doing business as | Renaissance Behavioral Health Llc |
| Authorized official | Clark, Kimberly Tenita Certified Nurse Practitioner (CNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2020 |
| Last updated | Aug 16th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376165639 | NPPES |
| Ohio | MEDICAID | 0402869 |
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