# RENEWAL LIFE COUNSELING, LLC

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

## Provider details

- **NPI number:** 1427426030
- **Authorized official:** MRS. TAMARA HOUSTON-HAMILTON LISW-CP (CLINICAL SOCIAL WORKE)
- **Authorized official phone:** (864) 416-4560

## Contact information

- **Practice address:** 522 GLENLEA LN, GREENVILLE, SC 29617-1240
- **Practice address phone:** (864) 416-4560
- **Practice address fax:** (864) 236-7311
- **Mailing address:** 522 GLENLEA LN, GREENVILLE, SC 29617-1240
- **Mailing address phone:** (864) 416-4560
- **Mailing address fax:** (864) 236-7311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 8450 | SC | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SW1252 | — | SC |
