Organization Active NPI

Renew You LLC

  • Marriage & Family Therapist
  • Enfield, CT
National Provider Identifier
1699531822
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RENEW YOU LLC
Practice address
174 South Rd Ste 105
Enfield, CT 06082-4414
Phone
(860) 245-1226
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Ashley-Victoria Christine PhillipsNPI 1265985139
Title
Owner, LMFT
Phone
(860) 245-1226

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

174 South Rd Ste 105
Enfield, CT 06082-4414

Mailing address

174 South Rd Ste 105
Enfield, CT 06082-4414
Phone (860) 245-1226

National Provider Directory

National Provider Directory

Locations

174 South Rd
Ste 105
Enfield, CT 06082
Phone (860) 245-1226

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": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1699531822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 SOUTH RD STE 105",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824414",
            "telephone_number": "860-245-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SOUTH RD STE 105",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824414",
            "telephone_number": "860-245-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ASHLEY-VICTORIA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER, LMFT",
        "authorized_official_telephone_number": "860-245-1226"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.