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Renew Addiction Treatment Center
Addiction Medicine (Psychiatry & Neurology) Physician in Pikeville, Kentucky
NPI 1063810091

Renew Addiction Treatment Center is an Addiction Medicine (Psychiatry & Neurology) Physician based in Pikeville, KY and is specialized in Addiction Medicine. Renew Addiction Treatment Center practices in Pikeville, KY. The NPI Number for Renew Addiction Treatment Center is 1063810091 and holds a License No. 740318 (Kentucky).

The current practice location address for Renew Addiction Treatment Center is 400 Venters Ln Ste 100, Pikeville, KY and can be reached out via phone at 606-653-1505.

Location: 400 Venters Ln Ste 100, Pikeville, KY, 41502-1285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063810091
Provider Name
Renew Addiction Treatment Center
Credential
Provider Entity Type
Organization
Address
400 Venters Ln Ste 100, Pikeville, KY, 41502-1285
Phone Number
606-653-1505
Fax Number
Provider Enumeration Date
12/08/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
740318 01 KY STATE FACILITY LICENSE- SPECIAL HEALTH CLINIC
institution
Provider Business Practice Location Address Details
Address
400 Venters Ln Ste 100
City
Pikeville
State
Kentucky
Zip
41501-3016
Phone Number
606-653-1505
Fax Number
person
Provider Business Mailing Address Details
Address
400 Venters Ln Ste 100
City
Pikeville
State
Kentucky
Zip
41501-3016
Phone Number
606-653-1505
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
740318 (Kentucky)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
740318 (Kentucky)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
740318 (Kentucky)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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