RENAISSANCE WELLNESS ACADEMY, LLC.
NPI 1104794130
Counselor - Mental Health in Hialeah, FL

Q: What is Renaissance Wellness Academy, LLC.'s NPI number?

The NPI number for Renaissance Wellness Academy, LLC. is 1104794130. It was assigned to this organization in the NPPES registry on October 29, 2025.

Q: What is Renaissance Wellness Academy, LLC.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 29, 2025

6877 NW 179TH ST APT 107, HIALEAH, FL 33015(786) 593-0317 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renaissance Wellness Academy, Llc. NPPES

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

RENAISSANCE WELLNESS ACADEMY, LLC. (NPI 1104794130) is a healthcare organization registered as a mental health in Hialeah, Florida and active in the NPI registry since October 2025. The organization lists Victor R. Evins, President, as its authorized official.

NPPES Registry Identity

NPI1104794130

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameRENAISSANCE WELLNESS ACADEMY, LLC.

Location Address6877 NW 179TH ST APT 107Hialeah, FL 33015-7451

Mailing Address6877 Nw 179th St Apt 107Hialeah, FL 33015-7451 · (786) 593-0317

Phone(786) 593-0317

Organization SubpartNo

Authorized OfficialVictor R. EvinsPresident · (786) 593-0317

Enumeration DateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1104794130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

6877 NW 179TH ST APT 107, Hialeah, FL 33015

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR RAUL EVINS M.ED.

Counselor (Mental Health)

6877 NW 179TH ST APT 107
HIALEAH, FL 33015

Miami-Dade County (786) 593-0317

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 Renaissance Wellness Academy, LLC.'s NPI number?

The NPI number for Renaissance Wellness Academy, LLC. is 1104794130. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is Renaissance Wellness Academy, LLC. located?

Renaissance Wellness Academy, LLC. is located at 6877 NW 179th St Apt 107, Hialeah, FL 33015. The listed phone number is (786) 593-0317.

What is Renaissance Wellness Academy, LLC.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Renaissance Wellness Academy, LLC. was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.