Renewed Foundations Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEWED FOUNDATIONS COUNSELING SERVICES

Practice address

105 Redmond Rd NW
Rome, GA 30165-1535

Phone

(706) 767-1421

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Kristen Gaylor Broyles, LPCNPI 1306304464

Title

Owner

Phone

(706) 237-9750

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kristen Gaylor Broyles, LPC

  • Mental Health Counselor
  • Rome, GA
  • NPI 1306304464
  NPD Authorized official

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1225758485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651535",
            "telephone_number": "706-237-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651535",
            "telephone_number": "706-767-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED FOUNDATIONS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "GAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-237-9750",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Reid
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• Relentless Chiropractic, LLC
• Roderick Remoroza, M.D.
• Renalsouth of Rome LLC
• Jose Cruz Reyes, M.S., BCBA
• Reyland Medical, LLC
• Nancy Reymar, ARNP
• Colette Reynolds Mosley
• Kimberly H Reynolds, PT

• Mental Health Counselor in Rome, GA
• Providers in Rome, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.