Provider Demographics
NPI:1316761000
Name:SEFCHICK, RENEE R (LCMHC-A)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:R
Last Name:SEFCHICK
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10224 HICKORYWOOD HILL AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3474
Mailing Address - Country:US
Mailing Address - Phone:704-896-9405
Mailing Address - Fax:704-748-0080
Practice Address - Street 1:3140 N NC 16 BUSINESS HWY STE 106
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7315
Practice Address - Country:US
Practice Address - Phone:704-896-9405
Practice Address - Fax:704-748-0080
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18388101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health