Healthcare Provider Details

I. General information

NPI: 1952238008
Provider Name (Legal Business Name): RENEW THERAPY FOR HEALING & RESILIENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 E 63RD ST STE 420
KANSAS CITY MO
64110-3357
US

IV. Provider business mailing address

751 E 63RD ST STE 420
KANSAS CITY MO
64110-3357
US

V. Phone/Fax

Practice location:
  • Phone: 816-323-8613
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FRANCES CANADAY
Title or Position: OWNER
Credential: LPC
Phone: 816-323-8613