RENEWED PATH COUNSELING SERVICES LLC NPI 1154957272

NPI Information

  • NPI: 1154957272
  • Provider Name: RENEWED PATH COUNSELING SERVICES LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 19D2319047
  • Address: 711 JOHNSON ST REAR OFFICE
    TALLULAH, LA
    ZIP 71282
  • Phone: (318) 512-5383

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NPI Details

RENEWED PATH COUNSELING SERVICES LLC is a multi-specialty clinic center in Tallulah, LA. RENEWED PATH COUNSELING SERVICES LLC NPI is 1154957272. The provider is registered as an organization entity type.

The provider's business location address is:

711 JOHNSON ST REAR OFFICE
TALLULAH, LA
ZIP 71282-532
Phone: (318) 512-5383
Fax: (318) 574-0819

The provider's authorized official is Tamesha Thompson Sims .
The authorized official title is Member/manager and has the following contact phone number (318) 512-5383.

The CLIA number assigned to this NPI record is 19D2319047 - other - drug testing site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2020 and was last updated on 3/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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