Renewed Life Counseling Services

LBN: Renewed Life Counseling, Llc
Renewed Life Counseling Services is an health care organization with primary practice located at 10026 University Ave Nw Ste 103 , Coon Rapids MN 55448-2213. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Renewed Life Counseling, Llc can be contacted via phone (612) 636-9677, or through Simmons-Maclin, Nikisha Lynnette via phone (612) 636-9677.

Contact Information

Primary practice address
10026 University Ave Nw Ste 103 Coon Rapids MN 55448-2213
Phone: (612) 636-9677
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simmons-Maclin, Nikisha Lynnette LADC
Phone: (612) 636-9677

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1811452188
LBN Legal business name Renewed Life Counseling, Llc
DBA Doing business as Renewed Life Counseling Services
Authorized official Simmons-Maclin, Nikisha Lynnette LADC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2019
Last updated Jan 31st, 2019 - about 7 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 1811452188 NPPES
Minnesota Other 1098948 MINNESOTA DEPARTMENT OF HUMAN SERVICES

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