RENEWED & RESTORED LLC (NPI# 1043834724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043834724 |
Entity Type | Organization |
Organization Name | RENEWED & RESTORED LLC |
Practice Address |
2531 Briarcliff Rd Ne Ste 203 Atlanta GA 30329-3017 |
Mailing Address |
2218 Rugby Ave Atlanta GA 30337-1019 |
Practice Telephone | 6788494777 |
Mailing Telephone | 6788494777 |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |
Authorized Official Name | KELLY M HARRIS (OWNER) |
Authorized Official Telephone | 6788494777 |
Authorized Official Credential | LPC, NCC, CPCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
2531 BRIARCLIFF RD NE STE 203 |
City | ATLANTA |
State | GA |
Zip Code | 30329-3017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199057 | Kelly M Harris | Counselor | 2531 Briarcliff Rd Ne Ste 203, Atlanta, GA 30329-3017 | 2019-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
Find all providers in zip 30329 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
1922582907 | United Hearts Behavioral Health LLC. | Clinic/Center | 5832 Harrier Ln, Atlanta, GA 30349-8871 | 2018-09-17 |
1922501576 | Acorn Center for Counseling, Growth, & Healing LLC | Clinic/Center | 942 North Ave Ne, Atlanta, GA 30306-4466 | 2018-03-09 |
1750747812 | Dunwoody Psychiatry and Psychotherapy Center | Clinic/Center | 2150 Peachford Rd Ste V, Atlanta, GA 30338-6539 | 2016-01-05 |
1407457328 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-11-06 |
1467068890 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-09-21 |
1790393866 | A Sound Mind Rehabilitation Institution Inc. | Clinic/Center | 5574 Grammercy Dr Sw, Atlanta, GA 30349-1291 | 2020-07-15 |
1316577091 | Lotus Therapeutic Services | Clinic/Center | 2900 Chamblee Tucker Rd, Atlanta, GA 30341-4100 | 2020-01-22 |
1619515855 | Kylie Craine, Ph.d. | Clinic/Center | 1827 Powers Ferry Rd Se Bldg 22, Atlanta, GA 30339-5621 | 2019-12-18 |
Find all providers in ATLANTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.