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Organization
RENAISSANCE BEHAVIORAL HEALTH LLC
Active
Organization
RENAISSANCE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELITA ANANE LCSW-C (CEO)
(443) 442-7249
Entity
Organization
Contact information
Practice address
1212 N WOLFE ST, BALTIMORE, MD 21213-3303
(718) 813-7185
Mailing address
750 CONCOURSE CIRCLE #103/PMB#303, MIDDLE RIVER, MD 21220
(240) 617-1274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
01/03/2025
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