Renewed Behaviioral Health and Wellness
NPI 1205221934ActiveOrganization· Exclusive Provider Organization· Temple Hills, MD
Exclusive Provider Organization in Temple Hills, Maryland, registered in NPPES in March 2015. The authorized official on file is Kimberly A. Davis, LCPC, Ceo.
Overview
| NPI | 1205221934 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2015 |
| Last updated in NPPES | Mar 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | LC5858 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|