# RENAISSANCE GRACE SERVICES DC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renaissance Grace services DC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629865043
- **Authorized official:** HERVED JOEL SIMEU (ADMINISTRATOR)
- **Authorized official phone:** (469) 530-4932

## Contact information

- **Practice address:** 730 24TH ST NW STE 10, WASHINGTON, DC 20037-2543
- **Practice address phone:** (469) 530-4932
- **Mailing address:** 730 24TH ST NW STE 10, WASHINGTON, DC 20037-2543
- **Mailing address phone:** (469) 530-4932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2025
- **Last updated:** 08/03/2026