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RENEGADE WELLNESS
NPI 1831922293
Community/Behavioral Health in Evanston, IL

Active since August 21, 2024
725 WASHINGTON ST APT 108, EVANSTON, IL 60202(224) 300-0987 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renegade Wellness NPPES

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

RENEGADE WELLNESS (NPI 1831922293) is a healthcare organization registered as a community/behavioral health in Evanston, Illinois and active in the NPI registry since August 2024. The organization lists Renee Surgi, Owner, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1831922293
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRENEGADE WELLNESS
Location Address725 WASHINGTON ST APT 108Evanston, IL 60202-2243
Mailing Address725 Washington St Apt 108Evanston, IL 60202-2243
Phone(224) 300-0987
Organization SubpartNo
Authorized OfficialRenee SurgiOwner, Clinical Director · (847) 987-5655
Enumeration DateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1831922293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
725 WASHINGTON ST APT 108, Evanston, IL 60202
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Other Providers at the Same Location NPPES

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

LAUREN ZERBST LCSW
Social Worker
725 WASHINGTON ST APT 108
EVANSTON, IL 60202
Cook County (773) 797-2238

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 Renegade Wellness's NPI number?

The NPI number for Renegade Wellness is 1831922293. It was assigned to this organization in the NPPES registry on August 21, 2024.

Where is Renegade Wellness located?

Renegade Wellness is located at 725 Washington St Apt 108, Evanston, IL 60202. The listed phone number is (224) 300-0987.

What is Renegade Wellness's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Renegade Wellness was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.