Provider Demographics
NPI:1033483920
Name:RENEWED STRENGTH COUNSELING , LLC
Entity Type:Organization
Organization Name:RENEWED STRENGTH COUNSELING , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUTPATIENT THERAPIST, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:573-576-1896
Mailing Address - Street 1:102 S INTERSTATE DR
Mailing Address - Street 2:
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-8641
Mailing Address - Country:US
Mailing Address - Phone:573-576-1896
Mailing Address - Fax:888-340-7785
Practice Address - Street 1:102 S INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-8641
Practice Address - Country:US
Practice Address - Phone:573-576-1896
Practice Address - Fax:888-340-7785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-24
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012002898251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health