Renaissance Wellness Academy, Llc.

NPI #1104794130 in Hialeah, Florida

Provider Information

NPI Number: 1104794130
Entity Type: Organization
Organization Name: Renaissance Wellness Academy, Llc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 29, 2025
Last Updated: Oct 29, 2025

Practice Location

Address: 6877 NW 179TH ST APT 107
City: Hialeah
State: Florida
ZIP Code: 33015-7451
Phone: (786) 593-0317

Authorized Official

Name: VICTOR R. EVINS, RMHCI
Title: PRESIDENT
Phone: (786) 593-0317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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