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

Renaissance Supportive Services Inc

Organization Community/Behavioral Health Agency · NPI 1457596678

Renaissance Supportive Services Inc is a Community/Behavioral Health Agency in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

10213 Rising Mist Ln
Jacksonville, FL 32221-3006
Phone: (904) 786-6486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 690575796 (FL)

Record details

NPI number1457596678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latrese Harrison — Owner · (904) 786-6486
NPI enumeratedDecember 3, 2008
Last updated in NPPESDecember 3, 2008
Mailing address10213 Rising Mist Ln, Jacksonville, FL 32221-3006

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