Healthcare Provider Details

I. General information

NPI: 1558293027
Provider Name (Legal Business Name): RENEWED LIFE SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 AIRLINE HWY STE 213
BATON ROUGE LA
70816-8195
US

IV. Provider business mailing address

2896 MEADOW GROVE AVE
ZACHARY LA
70791-5479
US

V. Phone/Fax

Practice location:
  • Phone: 225-308-1278
  • Fax:
Mailing address:
  • Phone: 210-391-4520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TONYA RAMSEY
Title or Position: OWNER
Credential: LPC
Phone: 225-308-1278