Renew You Heart Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEW YOU HEART HEALING

Practice address

1989 Obsidian TRL
Heartland, TX 75126-1179

Phone

(682) 272-6559

Fax

(682) 292-2895

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Ashley S Beverly, LCSWNPI 1962906388

Title

Owner/ Therapist

Phone

(682) 272-6559

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ashley S Beverly, LMSW

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1962906388
  NPD Authorized official

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1780358036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 OBSIDIAN TRL",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751261179",
            "telephone_number": "682-272-6559",
            "fax_number": "682-292-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 OBSIDIAN TRL",
            "city": "HEARTLAND",
            "state": "TX",
            "postal_code": "751261179",
            "telephone_number": "682-272-6559",
            "fax_number": "682-292-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOU HEART HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "682-272-6559",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1M1946",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Heartland, TX
• Providers in Heartland, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.