All Things Renewed Counseling & Supervision LLP
Organization Active NPI Professional Counselor · Benton, AR
NPI 1982304168 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1982304168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- ALL THINGS RENEWED COUNSELING & SUPERVISION LLP
- Practice address
- 622 Alcoa Rd
Benton, AR 72015-3404 - Phone
- (501) 249-9700
- Fax
- (877) 728-0820
- NPI assigned
- Mar 7, 2023
- Organization subpart
- No
Authorized official
- Name
- Jennifer Tahnee Duer Barnard, LPC-S
- Title
- Partner/Owner
- Phone
- (501) 249-9700
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241111002219 | AR | Part B Supplier - Clinic/Group Practice | 7810421005 |
Receives reassigned benefits from 1 practitioner Practice locations: Benton, AR |
National Provider Directory
Locations
2101 Old Congo Rd
Ste F900
Benton, AR 72015
Phone (501) 229-9208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
622 Alcoa Rd
Benton, AR 72015-3404
Mailing address
PO Box 472
Bryant, AR 72089-0472
Phone (501) 249-9700
Other providers in Benton, AR
- Harry Alcorn
- Shilonda Alcorn
- Bethany Alexander
- Carla Alexander
- Jerika Alford
- Allan B. Hatch, M.D., P.a.
- Gwendolyn Allen
- Sarah Wilkinson Allen
- Valyncia Allen
- Victoria Michelle Allen
All providers in Benton, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.