Renew Therapeutic Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENEW THERAPEUTIC SERVICES, LLC

Practice address

2924 Knight St Ste 424
Shreveport, LA 71105-2413

Phone

(318) 820-6476

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Tierra Heard, LCSWNPI 1871778605

Title

Owner

Phone

(318) 820-6476

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tierra L Heard, MSW

  • Clinical Social Worker
  • Shreveport, LA
  • NPI 1871778605
  NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1558926113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 424",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-820-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 KNIGHT ST STE 424",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052413",
            "telephone_number": "318-820-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "TIERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-820-6476",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelina Remedies
• Misty Remedies, LOTR
• David Hongwei Ren, MD, PHD
• Renaissance Healthcare LLC
• David Renda, M.D.
• Kimberly Renfro, AU.D.
• David Rengifo, MD
• Linda Hood Resendez, LOTR
• Residual Care LLC
• Residual Care, LLC.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.