Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renaissance Medical Group, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1689713638

Renaissance Medical Group, Inc is an Addiction (Substance Use Disorder) Counselor in Fairmount Heights, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

525 Eastern Ave Ste B3
Fairmount Heights, MD 20743-1677
Phone: (301) 925-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (MD)

Record details

NPI number1689713638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Syphax — Administrator · (301) 925-2255
Other names Renaissancetreatment Center
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 2966, Hyattsville, MD 20784-0966