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Wake Renewal Counseling, Pllc

Clinical Social Worker in Knightdale, NC · enumerated 2013 · authorized official Keisha Bryan, Ownter/Therapist.

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

National Provider Identifier

1205276599

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Registry record

Entity type Organization (Type 2)
Legal business name Wake Renewal Counseling, Pllc
Practice address 1008 Big Oak Ct Ste F, Knightdale, NC, 27545
Fax (919) 261-1675
Enumeration date Jul 1, 2013
Last updated in NPPES Jul 1, 2013

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C006619 (NC) Primary

Authorized official

Name Keisha Bryan
Title Ownter/Therapist

Other identifiers

Identifier Type State Issuer
6112015 Medicaid NC -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-01. Verify at npiregistry.cms.hhs.gov.
Where is Wake Renewal Counseling, Pllc located?
The practice location on file with NPPES is in Knightdale, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-01.