Renew 360 Support Services Inc is a
Peer Specialist based in Charlotte, North Carolina. Renew 360 Support Services Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2631 Lucena St, Charlotte, North Carolina. It can be reached at their office (for appointments etc.) via phone at
(704) 277-3538.
NPI number for Renew 360 Support Services Inc is 1942165048 and their current mailing address is 2631 Lucena St, Charlotte, North Carolina. Renew 360 Support Services Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1942165048.
Healthcare Provider's Profile
| Full Name | Renew 360 Support Services Inc |
|---|
| Type | Facility |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2631 Lucena St, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942165048
- Provider Enumeration Date: 12/19/2025
- Last Update Date: 12/19/2025
Medical Identifiers
Medical identifiers for Renew 360 Support Services Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942165048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renew 360 Support Services Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Renew 360 Support Services Inc 2631 Lucena St, Charlotte, NC 28206-2109 Ph: (704) 277-3538 | Renew 360 Support Services Inc 2631 Lucena St, Charlotte, NC 28206-2109 Ph: (704) 277-3538 |
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