Renewed Spirits, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

70386 Issued in TX

Legal business name

RENEWED SPIRITS, LLC

Doing business as

Renewed Spirits Counseling

Practice address

6675 Mediterranean Dr
McKinney, TX 75070-5573

Phone

(214) 945-3744

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Michele Denise Fesenbek, LPCNPI 1316310444

Title

Counselor/Owner

Phone

(214) 945-3744

Specialties & licenses 1

Addresses

Other names 1

• Renewed Spirits Counseling Doing business as

Practitioners 1

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

• Michele Fesenbek, LPC

  • Professional Counselor
  • McKinney, TX
  • NPI 1316310444
  NPD (past) Authorized official

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1750759262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 BLACK OAK DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071027",
            "telephone_number": "214-945-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705573",
            "telephone_number": "214-945-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED SPIRITS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "FESENBEK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "214-945-3744",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Spirits Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.