Renewed Life Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEWED LIFE COUNSELING LLC

Practice address

169 Dauphin St Ste 319
Mobile, AL 36602-3271

Phone

(251) 376-4249

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Renee Gibson, MS, ALCNPI 1326712084

Title

Owner/Counselor

Phone

(251) 376-4249

Specialties & licenses 2

Addresses

Practitioners 1

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

• Tracy Gibson, LPC

  • Mental Health Counselor
  • Mobile, AL
  • NPI 1326712084
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1598508095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9029 DAWES OAK DR",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365829654",
            "telephone_number": "251-376-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DAUPHIN ST STE 319",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366023271",
            "telephone_number": "251-376-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "251-376-4249",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, ALC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rejuvaah & Revvived
• Abigail Remick
• Renaissance Residency
• Renew Physiotherapy
• Renewed Hope Counseling, LLC
• Renewed Perspective & Empowerment Counseling, LLC
• Seline Morrissette Renfroe
• Kimberly D Renihan, RBT
• Christine Reno, LICSW
• Edmond J Restivo Jr., C.P.O.

• Mental Health Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.