Renew Your Heart and Mind, LLC

Primary specialty

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

License

2017103313 Issued in DE

Legal business name

RENEW YOUR HEART AND MIND, LLC

Practice address

23321 Country Living Rd
Millsboro, DE 19966-2850

Phone

(302) 344-7519

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Carter Showell, LCSWNPI 1912339938

Title

Owner

Phone

(302) 344-7519

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

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

• Carolyn Carter Showell, LCSW

  • Clinical Social Worker
  • Millsboro, DE
  • NPI 1912339938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1194232694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23321 COUNTRY LIVING RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199662850",
            "telephone_number": "302-344-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23321 COUNTRY LIVING RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199662850",
            "telephone_number": "302-344-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOUR HEART AND MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "SHOWELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-344-7519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DE",
            "license": "2017103313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obed Randall
• Mallory Read, FNP-C
• Rehabilitation Consultants, Inc.
• Reklaim LLC
• Reklaim Treatment Center, LLC
• Renewed Medical Center LLC
• Katie Rickards, PT
• Rite Aid of Delaware Inc
• Kristen Stephanie Roark, DPT
• Kristin Phillips Roberts, PT, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.