Self Renew LLC
Self Renew LLC is a healthcare organization registered as Addiction (Substance Use Disorder) Counselor in Williamsburg, KY, holding Type 2 (organization) NPI 1013606144 since 2023. The authorized official on file is David Gearheart, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013606144 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Self Renew LLC |
| Practice address | 308 CUMBERLAND AVE, Williamsburg, KY, 40769 |
| Phone | 6063693180 |
| Enumeration date | 2023-05-04 |
| Last updated in NPPES | 2023-05-04 |
Authorized official
| Name | David Gearheart |
|---|---|
| Title | President/Ceo |
| Phone | 6063693180 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | — | — |
Copy-ready billing details
Provider: Self Renew LLC NPI: 1013606144 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 308 CUMBERLAND AVE, Williamsburg, KY, 40769
Verify this record
Cross-check NPI 1013606144 against the authoritative CMS record: view Self Renew LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Self Renew LLC?
Who is the authorized official for Self Renew LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-05-04.