Organization Active NPI

Love Renewed Wellness

  • Marriage & Family Therapist
  • Columbus, OH
National Provider Identifier
1669216446
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LOVE RENEWED WELLNESS
Practice address
116 Granville St Ste 107
Columbus, OH 43230-3044
Phone
(916) 216-6968
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Leora Williams, L-IMFTNPI 1407348998
Title
Owner/ Administrator
Phone
(916) 216-6968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

116 Granville St Ste 107
Columbus, OH 43230-3044

Mailing address

116 Granville St Ste 107
Columbus, OH 43230-3044
Phone (916) 216-6968

Other names 2

  • Resell Revival Former legal business name
  • Lillian's Rest Other name

National Provider Directory

National Provider Directory

Locations

116 Granville St
Ste 107
Gahanna, OH 43230
Phone (614) 687-7756

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1669216446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 GRANVILLE ST STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432303044",
            "telephone_number": "916-216-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 GRANVILLE ST STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432303044",
            "telephone_number": "916-216-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE RENEWED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LEORA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "916-216-6968",
        "authorized_official_credential": "L-IMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resell Revival",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lillian's Rest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.