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

Renew Wellness LLC

Organization Clinical Social Worker · NPI 1316538663

Renew Wellness LLC is a Clinical Social Worker in Eagle, Idaho. Registered with an NPI since 2021.

In the registry since
2021
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

1281 E Iron Eagle Dr
Eagle, ID 83616-6599
Phone: (208) 912-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1316538663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malisa Williams — Owner · (208) 912-4011
NPI enumeratedJanuary 29, 2021
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021
Mailing address5650 N Dalspring Ave, Boise, ID 83713-1315

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