Renew Life Concepts, Llc

LBN: Renew Life Concepts, Llc
Renew Life Concepts, Llc is an health care organization with primary practice located at 5868 E 71St St Ste E-630 , Indianapolis IN 46220-4075. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Renew Life Concepts, Llc can be contacted via phone (317) 835-3435, or through Jackson, Adriaka via phone (317) 835-3435.

Contact Information

Primary practice address
5868 E 71St St Ste E-630 Indianapolis IN 46220-4075
Phone: (317) 835-3435
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Adriaka LMHC
Phone: (317) 835-3435

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1528602257
LBN Legal business name Renew Life Concepts, Llc
DBA Doing business as
Authorized official Jackson, Adriaka LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2019
Last updated Apr 26th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528602257 NPPES
Indiana MEDICAID 8973191013

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