NPIMap

Organization Active NPI

Renewed Therapy & Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Leesville, LA
National Provider Identifier
1740809623
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RENEWED THERAPY & WELLNESS CENTER
Practice address
1622 Amour Dr Apt 3
Leesville, LA 71446-5261
Phone
(850) 625-1788
NPI assigned
Apr 10, 2020
Last updated
May 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Janice Tabatha Hill, LCSWNPI 1548630593
Title
Owner
Phone
(850) 625-1788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1622 Amour Dr Apt 3
Leesville, LA 71446-5261

Mailing address

1622 Amour Dr Apt 3
Leesville, LA 71446-5261
Phone (850) 625-1788

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1740809623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 AMOUR DR APT 3",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465261",
            "telephone_number": "850-625-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 AMOUR DR APT 3",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714465261",
            "telephone_number": "850-625-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED THERAPY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "TABATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-625-1788",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.