Active NPI
Life Renew Counseling
- Community/Behavioral Health Agency
- Memphis, TN
National Provider Identifier
1336754050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIFE RENEW COUNSELING
- Practice address
- 2924 Walnut Grove Rd
Memphis, TN 38111-2719 - Phone
- (901) 647-6160
- NPI assigned
- Sep 10, 2020
- Last updated
- Sep 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tera Brownlee, LPC-MHSP
- Title
- Owner/Therapist
- Phone
- (901) 647-6160
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
2924 Walnut Grove Rd
Memphis, TN 38111-2719
Mailing address
652 Spottswood Manor Dr
Memphis, TN 38111-4329
Phone (901) 647-6160
National Provider Directory
National Provider DirectoryLocations
2924 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 647-6160
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.
-
- Professional Counselor
- Memphis, TN
- NPI 1992228316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1336754050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 SPOTTSWOOD MANOR DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381114329",
"telephone_number": "901-647-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381112719",
"telephone_number": "901-647-6160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE RENEW COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-09",
"status": "A",
"authorized_official_last_name": "BROWNLEE",
"authorized_official_first_name": "TERA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "901-647-6160",
"authorized_official_credential": "LPC-MHSP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Life Options of West TN, Inc
- Life Partners Home Care Agency, LLC
- Life Partners Home Care Agency, LLC
- Life Partners Home Care Agency, LLC
- Life Partners Transportation Company (Life Partners)
- Life's Studio LLC
- Life's Studio LLC
- Lifecare Ambulance LLC
- Lifelinc Anesthesia III, LLC
- Lifelinc Anesthesia, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.