# ANEW GENESIS WELLNESS INC.

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

## Provider details

- **NPI number:** 1407478084
- **Authorized official:** RENATA JAMISON LCSW (CEO)
- **Authorized official phone:** (757) 761-8686

## Contact information

- **Practice address:** 4205 QUAILSHIRE ARCH, CHESAPEAKE, VA 23321-3244
- **Practice address phone:** (757) 761-8686
- **Mailing address:** 4205 QUAILSHIRE ARCH, CHESAPEAKE, VA 23321-3244
- **Mailing address phone:** (757) 761-8686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2020
- **Last updated:** 05/17/2020