Provider Demographics
NPI:1629969613
Name:RENI O, LLC
Entity type:Organization
Organization Name:RENI O, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:RENISHA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:OUBRE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:985-713-6353
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-0575
Mailing Address - Country:US
Mailing Address - Phone:985-713-6353
Mailing Address - Fax:225-265-2170
Practice Address - Street 1:22795 HIGH RIDGE DR
Practice Address - Street 2:
Practice Address - City:VACHERIE
Practice Address - State:LA
Practice Address - Zip Code:70090-4231
Practice Address - Country:US
Practice Address - Phone:985-713-6353
Practice Address - Fax:225-265-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)