Renewed Spirits Teletherapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RENEWED SPIRITS TELETHERAPY LLC

Practice address

647 Slagle Rd Lot 1
Leesville, LA 71446-2086

Phone

(337) 423-6453

NPI assigned

Apr 14, 2023

Last updated

Apr 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Hill, LCSW, LACNPI 1215300587

Title

Owner/Therapist

Phone

(337) 423-6453

Specialties & licenses 4

Addresses

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.

• Crystal Hill

  • Clinical Social Worker
  • Alexandria, LA
  • NPI 1215300587

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1407542145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 SLAGLE RD LOT 1",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714462086",
            "telephone_number": "337-423-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 SLAGLE RD LOT 1",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714462086",
            "telephone_number": "337-423-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED SPIRITS TELETHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "337-423-6453",
        "authorized_official_credential": "LCSW, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe H Rankin, M.D.
• Tammy Louise Rasor
• Rehab Services of Cenla
• Rehab Services of Cenla
• Rehabilitation Hospital of Leesville LLC (ClearSky Rehabilitation Hospital of Leesville)
• Renewed Therapy & Wellness Center
• Jenae Armani Richard
• Jonathan Ritter
• Nicolle Marie Rivera Reyes, D.C.
• Robert K. Lamme MD LLC

• Adult Mental Health Clinic/Center in Leesville, LA
• Providers in Leesville, LA by specialty
• Adult Mental Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.