# RENEW WELLNESS & PSYCHOTHERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376082610
- **Authorized official:** MR. JONATHAN SIMON ASAYAG LCSW, ACSW, CAADC (PARTNER)
- **Authorized official phone:** (484) 725-0072

## Contact information

- **Practice address:** 641 N 13TH ST STE E-101, EASTON, PA 18042-1430
- **Practice address phone:** (484) 725-0072
- **Mailing address:** 215 W. LAFAYETTE ST, EASTON, PA 18042
- **Mailing address phone:** (484) 725-0072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2017
- **Last updated:** 03/03/2022