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Organization
TRANSFORM BY RENEWING COUNSELING LLC
Active
Organization
TRANSFORM BY RENEWING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL WAYNE DRURY LCSW, LICSW (OWNER/PSYCHOTHERAPIST)
(571) 412-1002
Entity
Organization
Contact information
Practice address
11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030-5017
(571) 412-1002
Mailing address
11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030-5017
(571) 412-1002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/24/2025
Last updated
06/25/2026
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