Provider Demographics
NPI:1437996816
Name:FIORE, REN ROSA
Entity type:Individual
Prefix:
First Name:REN
Middle Name:ROSA
Last Name:FIORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTIAN
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 KIRTLEY WAY APT D3
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5344
Mailing Address - Country:US
Mailing Address - Phone:931-436-6678
Mailing Address - Fax:
Practice Address - Street 1:1719 ASHLEY CIR STE 101
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5837
Practice Address - Country:US
Practice Address - Phone:615-502-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor