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

Renaissance Wellness Academy, LLC

Organization Mental Health Counselor · NPI 1104794130

Renaissance Wellness Academy, LLC is a Mental Health Counselor in Hialeah, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6877 NW 179th St Apt 107
Hialeah, FL 33015-7451
Phone: (786) 593-0317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1104794130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Evins — President · (786) 593-0317
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address6877 Nw 179th St Apt 107, Hialeah, FL 33015-7451

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