Organization Active NPI

Renewed Life Therapeutic & Supportive Services

  • Clinical Social Worker
  • Greenville, NC
National Provider Identifier
1326868159
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEWED LIFE THERAPEUTIC & SUPPORTIVE SERVICES
Practice address
3482 NC Highway 33 W Ste B
Greenville, NC 27834-4813
Phone
(252) 495-2582
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Shamesa TeelNPI 1508409103
Title
Owner/Therapist
Phone
(252) 531-0179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3482 NC Highway 33 W Ste B
Greenville, NC 27834-4813

Mailing address

3482 NC Highway 33 W Ste B
Greenville, NC 27834-4813
Phone (252) 495-2582

National Provider Directory

National Provider Directory

Locations

3482 NC Highway 33 W
Ste B
Greenville, NC 27834
Phone (252) 495-2582

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1326868159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3482 NC HIGHWAY 33 W STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344813",
            "telephone_number": "252-495-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3482 NC HIGHWAY 33 W STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344813",
            "telephone_number": "252-495-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE THERAPEUTIC & SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "TEEL",
        "authorized_official_first_name": "SHAMESA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "252-531-0179"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.