Provider Demographics
NPI:1619580172
Name:HALWANI, RENATA VIEIRA (LPCC)
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:VIEIRA
Last Name:HALWANI
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:RENATA
Other - Middle Name:
Other - Last Name:VIEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:629 CAMINO DE LOS MARES STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-2832
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:629 CAMINO DE LOS MARES STE 207
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-2832
Practice Address - Country:US
Practice Address - Phone:949-228-9080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional