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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

EXODUS COUNSELING CENTER, LLC
NPI 1104560390
Clinic/Center - Adolescent and Children Mental Health in Bloomington, IN

Active since April 24, 2022
530 W CHURCH LN, BLOOMINGTON, IN 47403(812) 837-6336 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2026, Apr 24, 2022 (2 updates tracked since 2022).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About EXODUS COUNSELING CENTER, LLC

This page provides the complete NPI Profile along with additional information for Exodus Counseling Center, Llc, a provider established in Bloomington, Indiana operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1104560390 assigned on April 2022. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated July 2026. The authorized official of this NPI record is Mrs. Renae Cameron Lcsw (Therapist)

NPI
1104560390 Verify this NPI
Provider Name
EXODUS COUNSELING CENTER, LLC
Entity Type
Organization
Location Address
530 W CHURCH LN BLOOMINGTON, IN 47403
Location Phone
(812) 837-6336
Mailing Address
9225 S HARRODSBURG RD BLOOMINGTON, IN 47403
Mailing Phone
(812) 837-6336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2022
Last Update Date
07-16-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. RENAE CAMERON LCSW

Authorized Official Title
THERAPIST
Authorized Official Phone
(507) 360-5280

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Frequently Asked Questions

What is EXODUS COUNSELING CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1104560390, enumerated as an "organization" on April 24, 2022.

Where is the provider located?

The provider is located at 530 W CHURCH LN BLOOMINGTON, IN 47403 and the phone number is (812) 837-6336.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.