Organization
RENEWAL RECOVERY HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA J HARRIS LISAC, LAC (OWNER)
(520) 280-8009
Entity
Organization
Contact information
Practice address
7437 S 22ND AVE, PHOENIX, AZ 85041-5472
(520) 542-2056
(480) 248-2682
Mailing address
7437 S 22ND AVE, PHOENIX, AZ 85041-5472
(520) 542-2056
(480) 248-2682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/11/2025
Last updated
05/08/2026
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