Renew Addiction Treatment Center
NPI 1063810091 · Addiction Medicine (Family Medicine) Physician · Pikeville, KY
Renew Addiction Treatment Center is a Addiction Medicine (Family Medicine) Physician organization in Pikeville, KY (NPI 1063810091).
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
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
Frequently asked questions
- What is Renew Addiction Treatment Center's NPI number?
- Renew Addiction Treatment Center's National Provider Identifier (NPI) is 1063810091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Addiction Treatment Center?
- Renew Addiction Treatment Center is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Renew Addiction Treatment Center located?
- Renew Addiction Treatment Center's practice location on file with NPPES is 400 Venters Ln Ste 100, Pikeville, KY 41501-3016.
- What is Renew Addiction Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for Renew Addiction Treatment Center is (606) 653-1505.
- Who is the authorized official for Renew Addiction Treatment Center?
- The authorized official listed on Renew Addiction Treatment Center's NPPES record is Amber Sisco, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Addiction Treatment Center's NPI active?
- Yes — Renew Addiction Treatment Center's NPI (1063810091) is active in the NPPES registry as of the last update on 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.