Organization Active NPI

Renew and Restore Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warner Robins, GA
National Provider Identifier
1881592509
Registry record updated Oct 30, 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 RESTORE THERAPY LLC
Practice address
1239 Russell Pkwy Ste C6
Warner Robins, GA 31088-8612
Phone
(478) 230-4995
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Mrs. Tykeria Lorelle Cowart, LPCNPI 1003652736
Title
Owner/Managing Member
Phone
(478) 230-4995

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

1239 Russell Pkwy Ste C6
Warner Robins, GA 31088-8612

Mailing address

1239 Russell Pkwy Ste C6
Warner Robins, GA 31088-8612
Phone (478) 230-4995

National Provider Directory

National Provider Directory

Locations

1239 Russell Pkwy
Ste C6
Warner Robins, GA 31088

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": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1881592509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 RUSSELL PKWY STE C6",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888612",
            "telephone_number": "478-230-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 RUSSELL PKWY STE C6",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888612",
            "telephone_number": "478-230-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW AND RESTORE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "TYKERIA",
        "authorized_official_middle_name": "LORELLE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "478-230-4995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "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 Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.