Therapeutic Renovations

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERAPEUTIC RENOVATIONS

Practice address

3445 Timberlane Dr
Stockton, CA 95209-5123

Phone

(209) 649-7671

NPI assigned

Oct 4, 2020

Organization subpart

No

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

Authorized official

Name

Courtney Warfield, LCSW

Title

Owner/LCSW

Phone

(209) 649-7671

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1558968453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 TIMBERLANE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095123",
            "telephone_number": "209-649-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 TIMBERLANE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952095123",
            "telephone_number": "209-649-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC RENOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "WARFIELD",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "209-649-7671",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mireles Group Marketing & Billing Services LLC (AAT Home Placement Agency)
• The Pacific Resiliency Center for Psychology, Wellness, and the Arts
• The Stockton Therapy Network
• The Uplift All Foundation
• Tatiana Diazono Thema, MD
• Gloria Theriot
• Jesse Wade Thiboutot, PHARM.D.
• Catherine Elizabeth Thiel, LCSW
• Ravi Dev Thind, DDS
• Varinderjit Thind, DDS

• Mental Health Counselor in Stockton, CA
• Providers in Stockton, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.