Active NPI
Life Renewed Counseling Center
- Community/Behavioral Health Agency
- South Lyon, MI
National Provider Identifier
1083168900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 7
- Legal business name
- LIFE RENEWED COUNSELING CENTER
- Practice address
- 303 N Lafayette St
South Lyon, MI 48178-2034 - Phone
- (248) 863-6748
- NPI assigned
- Aug 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard G. Beemer, LPC
- Title
- Counselor
- Phone
- (248) 863-6748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 7 | MI | Primary |
Addresses
Primary practice location
303 N Lafayette St
South Lyon, MI 48178-2034
Mailing address
303 N Lafayette St
South Lyon, MI 48178-2034
Phone (248) 863-6748
National Provider Directory
National Provider DirectoryLocations
303 N Lafayette St
South Lyon, MI 48178
Phone (208) 691-7266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1083168900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481782034",
"telephone_number": "248-863-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N LAFAYETTE ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481782034",
"telephone_number": "248-863-6748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE RENEWED COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BEEMER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "248-863-6748",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.