Organization
RENOVO WELLNESS, LLC
Active
Other names
Renovo Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W POPE JR. (ADMINISTRATOR)
(225) 256-1634
Entity
Organization
Contact information
Practice address
10771 PERKINS RD STE C, BATON ROUGE, LA 70810-1693
(225) 256-1634
(225) 384-5402
Mailing address
10771 PERKINS RD STE C, BATON ROUGE, LA 70810-1693
(225) 256-1634
(225) 384-5402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/17/2020
Last updated
04/20/2020
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