Renewed Vision Behavioral Health Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWED VISION BEHAVIORAL HEALTH SERVICES LLC

Practice address

22720 Morton Ranch Rd # 173
Katy, TX 77449-2151

Phone

(832) 691-2985

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Andrea Daniels, LCSW

Title

Administrator

Phone

(816) 305-8278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1366065583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22720 MORTON RANCH RD # 173",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22720 MORTON RANCH RD # 173",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492151",
            "telephone_number": "832-691-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED VISION BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-305-8278",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Katy, TX
• Providers in Katy, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.