Provider Demographics
NPI:1083597561
Name:RENOVARE COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:RENOVARE COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES DE NOYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-200-8334
Mailing Address - Street 1:3227 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1667
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3227 W 25TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1667
Practice Address - Country:US
Practice Address - Phone:216-200-8334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health