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
Fax:
Website:
Authorized official contact:
Name: Clark, Kimberly Tenita Certified Nurse Practitioner (CNP)

Health care specialties

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 4 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 1376165639 NPPES
Ohio MEDICAID 0402869

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