Healthcare Provider Details

I. General information

NPI: 1922813500
Provider Name (Legal Business Name): FOCUS RENEWED COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E LAUREL ST
SCOTTSBORO AL
35768-1803
US

IV. Provider business mailing address

PO BOX 387
SCOTTSBORO AL
35768-0387
US

V. Phone/Fax

Practice location:
  • Phone: 256-279-7716
  • Fax: 256-857-2659
Mailing address:
  • Phone: 256-279-7716
  • Fax: 256-857-2659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BARRY CAMP
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 256-279-7716