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

Renova Therapy PLLC

Organization Clinical Social Worker · NPI 1114893161

Renova Therapy PLLC is a Clinical Social Worker in Davidson, North Carolina. Registered with an NPI since 2025.

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

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Practice location Address checks out

13506 Robert Walker Dr
Davidson, NC 28036-6008
Phone: (704) 818-8169
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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 number1114893161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalie Forouzad — Owner · (704) 818-8169
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address13506 Robert Walker Dr, Davidson, NC 28036-6008

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