Renewed Life Recovery LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RENEWED LIFE RECOVERY LLC

Practice address

2555 S Dixie Dr Ste 284
Kettering, OH 45409-1543

Phone

(937) 838-0169

NPI assigned

Jan 4, 2025

Organization subpart

No

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

Authorized official

Name

Kenyatta Robinson

Title

Owner

Phone

(937) 838-0169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1982413936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 284",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 284",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091543",
            "telephone_number": "937-838-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-838-0169"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Paige Reis
• Olivia Mae Reittinger
• Cori Lynn Renacs, AGAC-NP
• Renal Life Link Inc (Kettering Dialysis)
• Renal Physicians Inc (Dayton Kidney)
• Steven Joseph Repas, MD
• Renata Aerith Reuenthal, MD
• Brian C Rexrode
• Ryan C. Reynolds, CRNA
• RGM Psychotherapy Resources Inc

• Addiction (Substance Use Disorder) Counselor in Kettering, OH
• Providers in Kettering, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.