Organization Active NPI

Renew and Bloom Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Memphis, TN
National Provider Identifier
1790636819
Registry record updated Feb 5, 2026
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
RENEW AND BLOOM WELLNESS LLC
Practice address
6584 Poplar Ave
Memphis, TN 38138-3687
Phone
(901) 496-2796
NPI assigned
Feb 5, 2026
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Ruby Brianna Winters, LPC-MHSPNPI 1235903519
Title
Licensed Professional Counselor,Ceo
Phone
(901) 496-2796

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

6584 Poplar Ave
Memphis, TN 38138-3687

Mailing address

6584 Poplar Ave
Memphis, TN 38138-3687
Phone (901) 646-0893

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": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1790636819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383687",
            "telephone_number": "901-646-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383687",
            "telephone_number": "901-496-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW AND BLOOM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "BRIANNA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR,CEO",
        "authorized_official_telephone_number": "901-496-2796",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.