RENAISSANCE ONCOLOGY COUNSELING ASSOCIATES INC. NPI 1063565711

NPI Information

NPI: 1063565711
Provider Name: RENAISSANCE ONCOLOGY COUNSELING ASSOCIATES, INC.

Other Name: ROCA

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1221 ABRAMS RD STE 232
RICHARDSON, TX
ZIP 75081
Phone: (972) 234-2333
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RENAISSANCE ONCOLOGY COUNSELING ASSOCIATES, INC. is a mental health counselor in Richardson, TX. RENAISSANCE ONCOLOGY COUNSELING ASSOCIATES, INC. NPI is 1063565711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Roca.

The provider's business location address is:

1221 ABRAMS RD STE 232
RICHARDSON, TX
ZIP 75081-581
Phone: (972) 234-2333
Fax: (972) 234-8964

The provider's authorized official is Pam Abernethy .
The authorized official title is Ceo and has the following contact phone number (972) 234-2333.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	11167	TEXAS	Yes
2	101YM0800X	Counselor	Mental Health	15900	TEXAS	X
3	101YM0800X	Counselor	Mental Health	18851	TEXAS	X
4	1041C0700X	Social Worker	Clinical	SO4053	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0030HN	OTHER	TEXAS	BLUE CROSS
2	236213	OTHER	TEXAS	MHN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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