Organization · Type 2 NPI
Revived and Renewed Mental Health, LLC
Adult Mental Health Clinic/Center · Lafayette, LA
NPI number
1376151969
Active
Practice location
4400 Ambassador Caffery Pkwy Ste A167
Lafayette, LA 70508-6760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1376151969
Revived and Renewed Mental Health, LLC's National Provider Identifier is 1376151969, issued on Jul 20, 2020. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Lafayette, LA. The record was last updated on Jul 20, 2020.