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Self Renew LLC

Addiction (Substance Use Disorder) Counselor in Williamsburg, KY · enumerated 2023 · authorized official David Gearheart, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013606144

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Registry record

Entity type Organization (Type 2)
Legal business name Self Renew LLC
Practice address 308 Cumberland Ave, Williamsburg, KY, 40769
Enumeration date May 4, 2023
Last updated in NPPES May 4, 2023

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name David Gearheart
Title President/Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Self Renew LLC?
The NPI for Self Renew LLC is 1013606144, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Self Renew LLC?
NPPES lists David Gearheart (President/Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-04.