Renew Wellness LLC
Renew Wellness LLC is a healthcare organization registered as Clinical Social Worker in Eagle, ID, holding Type 2 (organization) NPI 1316538663 since 2021. The authorized official on file is Malisa Williams, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1316538663 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Renew Wellness LLC |
| Practice address | 1281 E IRON EAGLE DR, Eagle, ID, 83616 |
| Phone | 2089124011 |
| Enumeration date | 2021-01-29 |
| Last updated in NPPES | 2021-02-17 |
Authorized official
| Name | Malisa Williams |
|---|---|
| Title | Owner |
| Phone | 2089124011 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Primary | — | — |
Copy-ready billing details
Provider: Renew Wellness LLC NPI: 1316538663 Taxonomy: 1041C0700X (Clinical Social Worker) Address: 1281 E IRON EAGLE DR, Eagle, ID, 83616
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922053172 | Vicki Wooll | Individual | Family Medicine Physician | Eagle, ID |
| 1053494146 | Brook Medical Pllc | Organization | Family Medicine Physician | Eagle, ID |
| 1225282486 | Christa Inzercastillo | Individual | Medical Physician Assistant | Eagle, ID |
| 1184011124 | Malisa Williams | Individual | Clinical Social Worker | Eagle, ID |
| 1710428727 | Iris Miller Gallegos | Individual | Clinical Social Worker | Eagle, ID |
| 1508702275 | Clearwater Advanced Surgical Associates LLC | Organization | Surgery Physician | Eagle, ID |
Verify this record
Cross-check NPI 1316538663 against the authoritative CMS record: view Renew Wellness 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
Who is the authorized official for Renew Wellness LLC?
What is the NPI number for Renew Wellness LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-02-17.