RENEGADE THERAPEUTICS PA NPI 1235040460

NPI Information

  • NPI: 1235040460
  • Provider Name: RENEGADE THERAPEUTICS PA
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 2901 CLINT MOORE RD
    BOCA RATON, FL
    ZIP 33496
  • Phone: (954) 870-0475

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NPI Details

RENEGADE THERAPEUTICS PA is a marriage family therapist in Boca Raton, FL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. RENEGADE THERAPEUTICS PA NPI is 1235040460. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2901 CLINT MOORE RD
BOCA RATON, FL
ZIP 33496-041
Phone: (954) 870-0475

The provider's authorized official is Andrea Cuva .
The authorized official title is Provider and has the following contact phone number (954) 870-0475.

The enumeration date for this NPI number is 9/16/2026 and was last updated on 9/16/2026.

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
1106H00000XMarriage & Family TherapistYes

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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