RENAISSANCE WELLNESS ACADEMY LLC. NPI 1104794130

NPI Information

  • NPI: 1104794130
  • Provider Name: RENAISSANCE WELLNESS ACADEMY, LLC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6877 NW 179TH ST APT 107
    HIALEAH, FL
    ZIP 33015
  • Phone: (786) 593-0317

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NPI Details

RENAISSANCE WELLNESS ACADEMY, LLC. is a mental health counselor in Hialeah, FL. RENAISSANCE WELLNESS ACADEMY, LLC. NPI is 1104794130. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6877 NW 179TH ST APT 107
HIALEAH, FL
ZIP 33015-451
Phone: (786) 593-0317

The provider's authorized official is Victor R. Evins .
The authorized official title is President and has the following contact phone number (786) 593-0317.

The enumeration date for this NPI number is 10/29/2025 and was last updated on 10/29/2025.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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