Renewed & Restored LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RENEWED & RESTORED LLC

Practice address

2531 Briarcliff Rd NE Ste 203
Atlanta, GA 30329-3017

Phone

(678) 849-4777

NPI assigned

May 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly M Harris, LPC, NCC, CPCSNPI 1477199057

Title

Owner

Phone

(678) 849-4777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly M Harris, LPC, NCC

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1477199057
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1043834724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 RUGBY AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303371019",
            "telephone_number": "678-849-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 BRIARCLIFF RD NE STE 203",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293017",
            "telephone_number": "678-849-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED & RESTORED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-849-4777",
        "authorized_official_credential": "LPC, NCC, CPCS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalys Rendon
• Amy Rene, LCSW
• Nackens Rene
• Renew Strength & Balance Rehab LLC
• Renew Wellness Group, LLC
• Renewed Medical Concepts
• Rachel Renfro, NP
• Zachary Thomas Renfro, MD, MS
• Helen B Renfroe, LCSW
• Robert Andrew Renjel, MBBS

• Adult Mental Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.