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Renew Addiction Treatment Center — NPI 1063810091, Pikeville, KY | NPI Central

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NPI 1063810091

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Renew Addiction Treatment Center

NPI 1063810091 · Addiction Medicine (Family Medicine) Physician · Pikeville, KY

Provider details

NPI number: 1063810091
Entity type: Organization
Primary specialty: Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Parent organization: Adapt
Organization subpart: Yes
Authorized official: Amber Sisco, Managing Member(606) 653-1505
License: 740318 (KY)

Specialties & taxonomies

Addiction Medicine (Family Medicine) PhysicianPrimary207QA0401XLicense 740318 (KY)
Allopathic & Osteopathic Physicians
Addiction Medicine (Internal Medicine) Physician207RA0401XLicense 740318 (KY)
Allopathic & Osteopathic Physicians
Addiction Medicine (Psychiatry & Neurology) Physician2084A0401XLicense 740318 (KY)
Allopathic & Osteopathic Physicians

Practice location

400 Venters Ln Ste 100

Pikeville, KY 41501-3016

Phone: (606) 653-1505

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

Po Box 1285

Pikeville, KY 41502-1285

Other names (DBA / former)

Doing business as: Behavioral Health Professionals
Doing business as: Renew Atc

Registry dates

Enumerated: 2014-12-08
Last updated: 2022-09-09
Certified: 2022-09-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.