Healthcare Provider Details

I. General information

NPI: 1992500524
Provider Name (Legal Business Name): RENEWED FOCUS PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20200 GOVERNORS DR STE 367
OLYMPIA FIELDS IL
60461-1032
US

IV. Provider business mailing address

20200 GOVERNORS DR STE 367
OLYMPIA FIELDS IL
60461-1032
US

V. Phone/Fax

Practice location:
  • Phone: 601-383-3210
  • Fax:
Mailing address:
  • Phone: 601-383-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. IVORY RHYMES
Title or Position: PMHNP/CO-OWNER
Credential: NP
Phone: 601-383-3210