Inner Renovations Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INNER RENOVATIONS COUNSELING, PLLC

Practice address

18135 W Catawba Ave
Cornelius, NC 28031-5641

Phone

(704) 981-2569

NPI assigned

Sep 12, 2019

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chanel C. Bowen, LCMHC, LCAS, CCSNPI 1043626526

Title

Private Practice Owner

Phone

(704) 981-2569

Specialties & licenses 2

Addresses

Locations

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.

• Chanel C. Bowen, LPC, LCAS, CCS, NCC

  • Professional Counselor
  • Cornelius, NC
  • NPI 1043626526

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1932759818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ELBA DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281155800",
            "telephone_number": "704-981-2569",
            "fax_number": "704-765-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18135 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "704-981-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER RENOVATIONS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRIVATE PRACTICE OWNER",
        "authorized_official_telephone_number": "704-981-2569",
        "authorized_official_credential": "LCMHC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.