Self Renew LLC
Self Renew LLC is an Addiction (Substance Use Disorder) Counselor in Williamsburg, Kentucky. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
308 Cumberland AveWilliamsburg, KY 40769-1292
Phone: (606) 369-3180
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1013606144 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Gearheart — President/Ceo · (606) 369-3180 |
| NPI enumerated | May 4, 2023 |
| Last updated in NPPES | May 4, 2023 |
| Certification date | May 4, 2023 |
| Mailing address | 603 Riverside Dr, Prestonsburg, KY 41653-7746 |
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