Renita Shores-gaston

  • 1518421577 NPI Number
  • |
  • Actived: 5 years ago
  • |
Renita Shores-gaston is a health care provider based in Rockford, IL. The NPI Number is 1518421577 and it has been active since 5 years ago. The specialty is Clinical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinical services, Renita Shores-gaston is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Renita Shores-gaston

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 01/24/2019
  • Last updated: 01/24/2019

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 2912 16th St
    Rockford, IL 61109
  • Phone: 670-905-9059
  • Fax:

Provider Practice Location

  • Address: 1330 E State St Ste 4
    Rockford, IL 61104
  • Phone: 815-373-3027
  • Fax:

Authorized Official

  • Name: Stephan Bivins
  • Position/Title: Billing Staff
  • Telephone Number: 815-621-9272

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 358782826001
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Renita Shores-gaston?
  • A: The npi number for Renita Shores-gaston is 1518421577.
  • Q: What are Renita Shores-gaston's specialties?
  • A: Renita Shores-gaston's specialties are Clinical and different specialities.
  • Q: Where is Renita Shores-gaston business practice location?
  • A: Renita Shores-gaston business practice location is 1330 E State St Ste 4, Rockford, IL 61104.
  • Q: How to contact Renita Shores-gaston?
  • A: You can contact Renita Shores-gaston via 815-373-3027.
  • Q: What is the authorized official for Renita Shores-gaston?
  • A: The authorized office name is Stephan Bivins with position/title is Billing Staff and you can reach the authorized official via phone number 8156219272.