Renewed Mental Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENEWED MENTAL HEALTH LLC

Practice address

2340 E Calvada Blvd Ste 5a
Pahrump, NV 89048-5821

Phone

(702) 904-0260

NPI assigned

Apr 11, 2022

Last updated

Apr 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kika Hardy

Title

Owner

Phone

(702) 904-0260

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1093457020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 ANTELOPE CANYON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477739",
            "telephone_number": "702-904-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E CALVADA BLVD STE 5A",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485821",
            "telephone_number": "702-904-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-10",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "KIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-904-0260"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "renewedmentalhealth1@gmail.com",
            "affiliation": "N",
            "address_1": "2340 E Calvada Blvd Ste 5A",
            "city": "Pahrump",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890485821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.