Arise Renewed Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ARISE RENEWED COUNSELING, LLC

Practice address

5161 Brook Hollow Pkwy Ste 224
Norcross, GA 30071-3652

Phone

(470) 261-1392

Fax

(470) 422-7511

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Shakeia Brodie, LPCNPI 1730796608

Title

Owner/Psychotherapist

Phone

(470) 367-2817

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Shakeia Brodie

  • Professional Counselor
  • Peachtree Corners, GA
  • NPI 1730796608

  Professional

  NPD Authorized official
• Tanya Avery

  • Marriage & Family Therapist
  • Norcross, GA
  • NPI 1114684818
  NPD

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1083380737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 BROOK HOLLOW PKWY STE 224",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713652",
            "telephone_number": "470-261-1392",
            "fax_number": "470-422-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 BROOK HOLLOW PKWY STE 224",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713652",
            "telephone_number": "470-261-1392",
            "fax_number": "470-422-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE RENEWED COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "SHAKEIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "470-367-2817",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Norcross, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.