Renewed Hope Wellness Clinic LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RENEWED HOPE WELLNESS CLINIC LLC

Practice address

200 Saint Paul St
Pearl, MS 39208-5134

Phone

(601) 345-3700

Fax

(601) 345-3750

NPI assigned

Apr 1, 2025

Last updated

Apr 1, 2025By 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

Bianca Bullie-Thompson, DNPNPI 1083981757

Title

FNP-C, Pmhnp-BC

Phone

(601) 345-3700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

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.

• Bianca Bullie-Thompson, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, MS
  • NPI 1083981757

  Single Specialty

  Medicare reassignment NPD Authorized official
• Latonya Jaton McGowan

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, MS
  • NPI 1467018390
  NPD

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1639973720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR # 378",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329212",
            "telephone_number": "601-209-3300",
            "fax_number": "601-401-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT PAUL ST",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085134",
            "telephone_number": "601-345-3700",
            "fax_number": "601-345-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "BULLIE-THOMPSON",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "FNP-C, PMHNP-BC",
        "authorized_official_telephone_number": "601-345-3700",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rankin Baptist Association (Rankin Baptist Association DBA Crossroads Counseling Center)
• Rankin Baptist Association (Crossroads Counseling Center Clinton)
• Rankin Baptist Association (Crossroads Counseling Center Ridgeland)
• Stacy Michelle Reed, HAIR LOSS SPECIALIST
• Reliant, Inc.
• Rhodes Chiropractic Clinic
• Warren K Rhodes, D.C.
• Carmen Rena Rhymes Pitts, NP
• Maria Alexandra Risher, OTR/L
• Jade Alexandra Roberts

• Adult Mental Health Clinic/Center in Pearl, MS
• Providers in Pearl, MS by specialty
• Adult Mental Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.