SELF RENEW LLC
NPI 1013606144
Counselor - Addiction (Substance Use Disorder) in Williamsburg, KY

Q: What is Self Renew LLC's NPI number?

The NPI number for Self Renew LLC is 1013606144. It was assigned to this organization in the NPPES registry on May 4, 2023.

Q: What is Self Renew LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Self Renew LLC was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2023

308 CUMBERLAND AVE, WILLIAMSBURG, KY 40769(606) 369-3180 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Self Renew Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELF RENEW LLC (NPI 1013606144) is a healthcare organization registered as an addiction (substance use disorder) in Williamsburg, Kentucky and active in the NPI registry since May 2023. The organization lists David Gearheart, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1013606144

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameSELF RENEW LLC

Location Address308 CUMBERLAND AVEWilliamsburg, KY 40769-1292

Mailing Address603 Riverside DrPrestonsburg, KY 41653-7746 · (606) 369-3180

Phone(606) 369-3180

Organization SubpartNo

Authorized OfficialDavid GearheartPresident/ceo · (606) 369-3180

Enumeration DateMay 4, 2023

NPPES CertifiedMay 4, 2023

✔ NPI 1013606144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

308 CUMBERLAND AVE, Williamsburg, KY 40769

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Self Renew LLC's NPI number?

The NPI number for Self Renew LLC is 1013606144. It was assigned to this organization in the NPPES registry on May 4, 2023.

Where is Self Renew LLC located?

Self Renew LLC is located at 308 Cumberland Ave, Williamsburg, KY 40769. The listed phone number is (606) 369-3180.

What is Self Renew LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Self Renew LLC was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.