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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNY RENVILLE, DHA, MA, LCMHCA, NCC

Active Sole Proprietor

JENNY RENVILLE, DHA, MA, LCMHCA, NCC is a Professional Counselor healthcare provider located in WAXHAW, North Carolina. NPI 1124670500 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · WAXHAW, NC

Registration Details

NPI Number
1124670500
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2019 (7.0594540888924 yrs)
Last Updated
Apr 15, 2025
Licenses
A16484 (NC)
A16484 (NC)
A16484 (NC)
Sole Proprietor
Yes

Practice Information

Address
104 WAXHAW PROFESSIONAL PARK DR STE D
WAXHAW, NC, 281735020
Browse NC providers · Browse ZIP 28173
Phone
7042779009
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Counselor
Additional Specialty
Mental Health Counselor

Other Professional Counselor Providers in WAXHAW, NC

Name Credential NPI
CAROLYN L. VANDERHALL LPC 1336275932
DEBRA L CORBETT MS, NCC, LPC 1164684478
DR. TIMOTHY RAY SIEGES PHD 1568697100
STEVEN PALIN LPC/S 1679807002
MR. ROBERT S PENNELLO SR. LCMHCS 1750633129
MS. TERRI LANGSTON ROBINSON LPCA 1487991303
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.