Organization · Type 2 NPI

Renewed Spirits Teletherapy LLC

Adult Mental Health Clinic/Center · Leesville, LA

NPI number 1407542145 Active

Practice location

647 Slagle Rd Lot 1
Leesville, LA 71446-2086

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Adult Mental Health Clinic/Center Primary 261QM0850XNone 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.

Another provider at this address

About NPI 1407542145

Renewed Spirits Teletherapy LLC's National Provider Identifier is 1407542145, issued on Apr 14, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Leesville, LA. The record was last updated on Apr 14, 2023.