Organization
RENEST RECOVERY SUPPORT SERVICES
Active
Other names
reNEST Residency Inc, reNEST
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ANN WADDELL MA, CADC (EXECUTIVE DIRECTOR)
(844) 473-6378
Entity
Organization
Contact information
Practice address
400 RING RD STE 155, ELIZABETHTOWN, KY 42701-8790
(844) 473-6378
(270) 246-9950
Mailing address
400 RING RD STE 155, ELIZABETHTOWN, KY 42701-8790
(844) 473-6378
(270) 360-1188
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
KY
Enumeration date
10/11/2018
Last updated
09/30/2025
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