Renew Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4780650-6004 Issued in UT

Legal business name

RENEW COUNSELING LLC

Practice address

63 E 11400 S
#103
Sandy, UT 84070-6705

Phone

(801) 971-2075

Fax

(801) 943-0599

NPI assigned

Mar 22, 2013

Organization subpart

No

Name

Ms. Deborah Marie Wayman, CMHC

Title

Clinical Director

Phone

(801) 971-2075

• Renew Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2014.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1447592811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E 11400 S",
            "address_2": "#103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706705",
            "telephone_number": "801-971-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E 11400 S",
            "address_2": "#103",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706705",
            "telephone_number": "801-971-2075",
            "fax_number": "801-943-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "WAYMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "801-971-2075",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "4780650-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.