NPI Code Details Logo

NPI 1366365231

NPI 1366365231 : RENEWED & ROOTED COUNSELING, CONSULTING, & EDUCATION LLC : INDIANAPOLIS, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366365231
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RENEWED & ROOTED COUNSELING, CONSULTING, & EDUCATION LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/30/2026
-----------------------------------------------------
    Last Update Date     |    07/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2125 N GERMAN CHURCH RD 
-----------------------------------------------------
    City                 |    INDIANAPOLIS
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46229-2087
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    317-978-9875
-----------------------------------------------------
    Fax                  |    317-981-1092
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11554 SIGNET LN 
-----------------------------------------------------
    City                 |    INDIANAPOLIS
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46235-9791
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    317-978-9875
-----------------------------------------------------
    Fax                  |    317-981-1092
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/THERAPIST
-----------------------------------------------------
    Name                 |     ADALIAH  BROWN 
-----------------------------------------------------
    Credential           |    LMHC
-----------------------------------------------------
    Telephone            |    317-978-9875
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.