Provider Demographics
NPI:1528690559
Name:RENEW PSYCHOTHERAPY GROUP, PLLC
Entity type:Organization
Organization Name:RENEW PSYCHOTHERAPY GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:THOMSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S
Authorized Official - Phone:832-569-2450
Mailing Address - Street 1:1414 S FRIENDSWOOD DR STE 430
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4831
Mailing Address - Country:US
Mailing Address - Phone:832-569-2450
Mailing Address - Fax:
Practice Address - Street 1:1414 S FRIENDSWOOD DR STE 430
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4831
Practice Address - Country:US
Practice Address - Phone:832-569-2450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty