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

Renew Addiction Treatment Center

Organization Addiction Medicine (Family Medicine) Physician · NPI 1063810091

Renew Addiction Treatment Center is an Addiction Medicine (Family Medicine) Physician in Pikeville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014
Specialties on file
3

Practice location Address checks out

400 Venters Ln Ste 100
Pikeville, KY 41501-3016
Phone: (606) 653-1505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 740318 (KY)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence 740318 (KY)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 740318 (KY)

Record details

NPI number1063810091
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdapt
Authorized official Amber Sisco — Managing Member · (606) 653-1505
Other names Behavioral Health Professionals; Renew Atc
NPI enumeratedDecember 8, 2014
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022
Mailing addressPo Box 1285, Pikeville, KY 41502-1285

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