Renew Hypnosis and Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13081 Issued in FL

Legal business name

RENEW HYPNOSIS AND COUNSELING

Practice address

1137 Harrison Ave Ste 10
Panama City, FL 32401-2468

Phone

(850) 532-6406

Fax

(850) 532-6406

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Beverly Shawne Brown, LMHC

Title

Ceo

Phone

(850) 348-3578

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1861848640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 HARRISON AVE STE 10",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012468",
            "telephone_number": "850-532-6406",
            "fax_number": "850-532-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 HARRISON AVE STE 10",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012468",
            "telephone_number": "850-532-6406",
            "fax_number": "850-532-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HYPNOSIS AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "SHAWNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-348-3578",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.