Healthcare Provider Details

I. General information

NPI: 1386665404
Provider Name (Legal Business Name): RENEWAL MINISTRIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N 56TH ST SUITE 302
LINCOLN NE
68504-3583
US

IV. Provider business mailing address

111 N 56TH ST SUITE 302
LINCOLN NE
68504-3583
US

V. Phone/Fax

Practice location:
  • Phone: 402-486-1600
  • Fax: 402-486-1600
Mailing address:
  • Phone: 402-486-1600
  • Fax: 402-486-1600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number582
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD D SCHMIDT
Title or Position: CEO/DIRECTOR
Credential: M.A.
Phone: 402-486-1600